Treatment of Unstable Injury of Pelvic Bones in Pregnant (Case Report)
ARTICLE PDF (Українська)

Keywords

pelvic fracture; pregnancy; metalosteosynthesis.

How to Cite

Holovakha, M., Bohdan, O., Kozhemiaka, M., & Pertsov, V. (2021). Treatment of Unstable Injury of Pelvic Bones in Pregnant (Case Report). Herald of Orthopaedics, Traumatology and Prosthetics, (2(109), 80-83. https://doi.org/10.37647/0132-2486-2021-109-2-80-83

Abstract

Summary. There is no doubt in the relevance of the problem of treatment of patients with unstable fractures of pelvic bones, since these injuries involve a threat to the patient's life in the early period and often lead to disability in the future. This article presents a rare case of treatment of a patient with an unstable pelvis injury, while being 16 weeks pregnant. Patient A., born 1993, was admitted after a road accident injury. The examinations included: X-ray, CT, ultrasound, and gynecologist consultation. The patient was diagnosed with closed bilateral fracture of the pubic and ischial bones with displacement; rupture of the left sacroiliac joint with the boundary fracture of the sacrum (61-С1.3 by the Tile-AO-ASIF classification). The patient was 16 weeks pregnant. The surgery – open reduction and extramedullary metalosteosynthesis – was performed at the 9th day after the injury. The patient was discharged to outpatient treatment at the 12th day after the surgery. She started walking on crutches 3 weeks after the surgery; no additional support was needed since 1.5 months after the surgery. The patient gave birth at 39 weeks by surgical intervention (caesarean section). The baby's condition was assessed as 8 according to the Apgar scale. At the control examination 10 months after the surgery, musculoskeletal function of the patient was fully restored.

https://doi.org/10.37647/0132-2486-2021-109-2-80-83
ARTICLE PDF (Українська)

References

Хоурани М.Ю., Линник С.А., Кучеев И.О., Ткаченко А.Н., Ромашов П.П. Диагностика и лечение переломов костей таза. Фундаментальные исследования. 2014;10(9):1866-71.

Khourani M.Yu., Linnik S.A., Kucheev I.O., Tkachenko A.N., Romashov P.P. Diagnostics and treatment of pelvic bone fractures. Fundamental research. 2014;10(9):1866-71. [in Russian].

Kim HY, Yang DS, Park CK, Choy WS. Modified Stoppa approach for surgical treatment of acetabular fracture. Clin Orthop Surg. 2015 Mar;7(1):29-38. DOI: 10.4055/cios.2015.7.1.29.

Leggon RE, Wood GC, Indeck MC. Pelvic fractures in pregnancy: factors influencing maternal and fetal outcomes. J Trauma. 2002 Oct;53(4):796-804. DOI: 10.1097/00005373-200210000-00033. PMID: 12394889.

Tile M. Fractures of the pelvis and acetabulum principles and methods of management. 4th ed. Thieme; 2015. 978 p. Доступно за посиланням: DOI: 10.1055/b-0035-121619.

Zhang P, Zhou DS, Hu JM, Zhou DS, Li LX, Mu WD. Management of hemodynamically unstable pelvic fracture in pregnancy: a case report and review of literature. Chin J Traumatol. 2012;15(4):234-7. PMID: 22863342.

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