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外固定架作为一名孕妇骨盆环和骶骨联合骨折的可行治疗选择:病例报告

External Fixator as a Viable Treatment Option for Combined Pelvic Ring and Sacrum Fracture in a Pregnant Patient: A Case Report.

作者信息

Pisoudeh Karim, Alimoghadam Shaya, Elahifar Omid, Eslami Arvin

机构信息

Bone and Joint reconstruction research center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Arch Bone Jt Surg. 2023;11(7):476-480. doi: 10.22038/ABJS.2023.71908.3355.

Abstract

We report a case of a 32-year-old pregnant woman who suffered a combined type pelvic fracture and medial malleolus fracture due to a car accident at 24 weeks and 2 days of gestation. She underwent external fixation of the pelvic ring and percutaneous screw fixation of the ankle fracture. She recovered well and delivered a healthy baby by cesarean section at 37 weeks and 1-day gestation. External fixation can be a definitive treatment option for some pelvic fractures with anterior instability in pregnant patients, as it reduces the risk of fetal harm.

摘要

我们报告一例32岁孕妇,在妊娠24周零2天时因车祸导致复合型骨盆骨折和内踝骨折。她接受了骨盆环外固定和踝关节骨折的经皮螺钉固定。她恢复良好,并在妊娠37周零1天时通过剖宫产分娩了一个健康的婴儿。对于一些存在前侧不稳定的妊娠患者骨盆骨折,外固定可以作为一种确定性治疗选择,因为它降低了对胎儿造成伤害的风险。

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