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剖宫产联合切开复位内固定治疗晚期妊娠髋臼骨折

Combined caesarean section and open reduction internal fixation for the treatment of an acetabular fracture in late pregnancy.

作者信息

Charnell Aimee Marie, Ferriman Emma, Dimitriou Rozalia, Panteli Michalis, Giannoudis Peter V

机构信息

Academic Department of Trauma & Orthopaedic Surgery, School of Medicine, University of Leeds, Clarendon Wing, Leeds LS1 3EX, UK.

Clarendon Wing, Leeds General Infirmary, Leeds LS1 3EX, UK.

出版信息

JRSM Open. 2018 Feb 19;9(2):2054270417732698. doi: 10.1177/2054270417732698. eCollection 2018 Feb.

DOI:10.1177/2054270417732698
PMID:29487744
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5821300/
Abstract

In this case, we opted for dual surgery combining caesarean section and internal fixation of acetabular fracture in late pregnancy, which allowed safe foetal delivery, fracture repair and early ambulation of the mother. In similar cases, this method could be potentially considered in the armamentarium of treatment options, aiming to facilitating prompt motherhood input and early hospital discharge, as well as minimising the risk of post-traumatic arthritis of the hip.

摘要

在这种情况下,我们选择了在妊娠晚期联合进行剖宫产和髋臼骨折内固定的双重手术,这使得胎儿能够安全娩出,骨折得到修复,母亲能够早期下床活动。在类似病例中,这种方法可作为一种潜在的治疗选择,旨在促进产妇早日康复并提前出院,同时将创伤后髋关节炎的风险降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1997/5821300/dfc556253041/10.1177_2054270417732698-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1997/5821300/dfc556253041/10.1177_2054270417732698-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1997/5821300/dfc556253041/10.1177_2054270417732698-fig1.jpg

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J Orthop Case Rep. 2022 Oct;12(10):5-9. doi: 10.13107/jocr.2022.v12.i10.3342.
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Combined Acetabulum Fracture and Hip Dislocation in an 18-Year-Old Female at 35-Week Gestation: A Case Report and Review of the Literature.一名35周妊娠的18岁女性合并髋臼骨折和髋关节脱位:病例报告及文献复习
Case Rep Orthop. 2020 Jul 23;2020:8888015. doi: 10.1155/2020/8888015. eCollection 2020.

本文引用的文献

1
Operative fixation of acetabular fractures in the pregnant patient.妊娠期髋臼骨折的手术固定
J Orthop Trauma. 2008 Sep;22(8):508-16. doi: 10.1097/BOT.0b013e3181847a42.
2
Pelvic fractures in pregnancy: factors influencing maternal and fetal outcomes.
J Trauma. 2002 Oct;53(4):796-804. doi: 10.1097/00005373-200210000-00033.
3
Open reduction of acetabular fracture in pregnancy. A case report.妊娠期髋臼骨折的切开复位术。病例报告。
Clin Orthop Relat Res. 1992 Sep(282):229-32.
4
Open reduction and internal fixation of an acetabular fracture during pregnancy.妊娠期髋臼骨折的切开复位内固定术。
J Orthop Trauma. 1992;6(3):379-81. doi: 10.1097/00005131-199209000-00020.