Pals S D, Brown C W, Friermood T G
Orthopaedic Service, Fitzsimons Army Medical Center, Aurora, Colorado 80045.
J Orthop Trauma. 1992;6(3):379-81. doi: 10.1097/00005131-199209000-00020.
Fractures of the pelvis and acetabulum are common injuries in a mechanized society and frequently occur in the younger age groups. Commonly associated injuries such as hemorrhage, urethral tears, gastrointestinal injuries, and major vessel damage are well reported and well known to orthopaedic surgeons. Another less frequently reported complication of pelvic fractures is the potential association with pregnancy and subsequent childbirth. This problem was first described by Malgaigne in 1857 in his classic article on double vertical fractures of the pelvis, in which he described a 34-year-old woman with a pelvic fracture who subsequently died during childbirth. A review of the literature reveals numerous articles addressing potential problems with parturition subsequent to a pelvic fracture and several articles dealing with pelvic fractures occurring during pregnancy. The current literature on pelvic fractures during pregnancy, however, recommends only nonoperative treatment and, to our knowledge, there have been no reports of operative fixation during pregnancy. The purpose of this article is to report a case of an acetabular fracture in a pregnant woman treated with open reduction and internal fixation, who went on to carry a full-term baby and have a normal delivery.
骨盆和髋臼骨折在机械化社会中是常见损伤，且常发生于较年轻的年龄组。诸如出血、尿道撕裂、胃肠道损伤和大血管损伤等常见的相关损伤已有充分报道，骨科医生也熟知这些情况。骨盆骨折另一个较少被报道的并发症是与妊娠及随后分娩的潜在关联。这个问题最早由马尔盖涅于1857年在其关于骨盆双垂直骨折的经典文章中描述，他在文中讲述了一名34岁骨盆骨折女性随后在分娩时死亡的病例。文献回顾显示有大量文章论述骨盆骨折后分娩的潜在问题，还有几篇文章涉及妊娠期间发生的骨盆骨折。然而，目前关于妊娠期间骨盆骨折的文献仅推荐非手术治疗，据我们所知，尚无妊娠期间手术固定的报道。本文的目的是报告一例孕妇髋臼骨折经切开复位内固定治疗的病例，该孕妇随后足月产下一婴儿且分娩正常。
