Pisoudeh Karim, Alimoghadam Shaya, Elahifar Omid, Eslami Arvin
Bone and Joint reconstruction research center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
Arch Bone Jt Surg. 2023;11(7):476-480. doi: 10.22038/ABJS.2023.71908.3355.
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.
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。