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一名怀孕36周合并胫骨骨折患者的手术意见:髓内钉固定术

A Surgical Opinion in a 36-Week Pregnant with Tibia Fracture: Intramedullary Nailing.

作者信息

Bozkurt Celal, Sarikaya Baran

机构信息

Department of Orthopaedics and Traumatology, Faculty of Medicine, Harran University, Sanliurfa, Turkey.

出版信息

Case Rep Orthop. 2016;2016:1454835. doi: 10.1155/2016/1454835. Epub 2016 Dec 13.

DOI:10.1155/2016/1454835
PMID:28070433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5187484/
Abstract

The operative treatment of tibial fractures in late pregnancy is a controversial issue that is rarely discussed in the literature. Here we present a case of a tibial diaphyseal fracture in a woman that was 36 weeks pregnant, which was treated with intramedullary nails under noninvasive foetal monitoring with cardiotocography. The patient underwent a successful surgery, and no harm or adverse events to either the mother or the foetus were reported during or after the procedure. Following surgery, the mother had a comfortable pregnancy and a normal spontaneous vaginal delivery with a healthy newborn.

摘要

妊娠晚期胫骨骨折的手术治疗是一个有争议的问题,在文献中很少被讨论。在此,我们报告一例36周妊娠女性的胫骨干骨折病例,该患者在无创胎儿监护(胎心监护)下接受了髓内钉治疗。患者手术成功,术中及术后均未报告对母亲或胎儿有任何伤害或不良事件。术后,母亲顺利度过孕期,并自然顺产一名健康新生儿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9589/5187484/05528e2ac2a7/CRIOR2016-1454835.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9589/5187484/a536f4328d39/CRIOR2016-1454835.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9589/5187484/9745eae5869f/CRIOR2016-1454835.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9589/5187484/05528e2ac2a7/CRIOR2016-1454835.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9589/5187484/a536f4328d39/CRIOR2016-1454835.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9589/5187484/9745eae5869f/CRIOR2016-1454835.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9589/5187484/05528e2ac2a7/CRIOR2016-1454835.003.jpg

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引用本文的文献

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Suprapatellar intramedullary nailing of tibial shaft fractures in pregnancy. A report of two cases.妊娠合并胫骨骨干骨折的髌上髓内钉固定。两例报告。
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本文引用的文献

1
Tibial Nailing During Pregnancy: A Safe Option.孕期胫骨髓内钉固定术:一种安全的选择。
Eur J Trauma Emerg Surg. 2008 Feb;34(1):80-2. doi: 10.1007/s00068-007-6165-y. Epub 2007 Jun 27.
2
Traumatic tibia and fibula fracture in a 36 weeks' pregnant patient: a case report.一名36周妊娠患者的创伤性胫腓骨骨折:病例报告
Ochsner J. 2013 Winter;13(4):547-9.
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Practice management guidelines for the diagnosis and management of injury in the pregnant patient: the EAST Practice Management Guidelines Work Group.妊娠患者损伤诊断与管理的实践管理指南:东部创伤外科学会实践管理指南工作组
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Accelerated tibial fracture union in the third trimester of pregnancy: a case report.妊娠晚期胫骨骨折愈合加速:一例报告
J Med Case Rep. 2008 Feb 9;2:44. doi: 10.1186/1752-1947-2-44.
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Outcomes of isolated tibial shaft fractures treated at level 1 trauma centres.在一级创伤中心治疗的单纯胫骨干骨折的治疗结果。
Injury. 2008 Feb;39(2):187-95. doi: 10.1016/j.injury.2007.03.012. Epub 2007 Sep 6.
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Fluoroscopic guidance versus surgical navigation for distal locking of intramedullary implants. A prospective, controlled clinical study.透视引导与手术导航用于髓内植入物远端锁定的比较:一项前瞻性对照临床研究。
Injury. 2004 Jun;35(6):567-74. doi: 10.1016/S0020-1383(03)00312-7.
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Nonobstetric surgery during pregnancy: what are the risks of anesthesia?孕期非产科手术:麻醉风险有哪些?
Obstet Gynecol Surv. 2004 Jan;59(1):52-6. doi: 10.1097/01.OGX.0000103191.73078.5F.
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Pregnancy-associated thrombosis.妊娠相关血栓形成
Wien Klin Wochenschr. 2003 Aug 14;115(13-14):482-4. doi: 10.1007/BF03041032.
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N J Med. 2001 Jun;98(6):29-33.