[The obstetrical future of the post-fractured pelvis of the child. Medico-legal evaluation of obstetrical damages].
When the paediatric orthopaedic surgeon is required to treat a fracture of the pelvis in a young girl, by an orthopaedic method or by appropriate open reduction and fixation, he should evaluate the future obstetric sequelae in order to be able to answer the specific questions raised by the injured child's family and also by legal experts appointed by the court. The authors have classified the various fractures of the pelvis in children by analysing the elements of functional prognosis of these lesions based on the types of fractures and on the particular factors of vitiation reported in the literature, consisting of series which are too short to be truly demonstrative. It is obviously impossible to precisely determine the obstetric prognosis, as only trial of labour following induction will confirm the intact patency of the pelvic osteo-articular passage. However, the collaboration of the paediatric orthopaedic surgeon immediately after the accident will allow a prudent evaluation of the obstetric prognosis, allowing the court expert to allocate funds and to define the bases for compensation of bodily damages in the light of this prognosis.
Soutoul
J H
JH
Gynécologie-Obstétrique, Expert National Judiciaire, Maîtrise de Droit privé, DEA.
Pierre
F
F
Bohl
M
M
D002648:Child; D005260:Female; D005554:Forensic Medicine; D050723:Fractures, Bone / Q000145:classification / Q000150:complications* / Q000628:therapy; D006801:Humans; D010384:Pelvic Bones / Q000293:injuries*; D011247:Pregnancy; D011379:Prognosis
Le devenir obstétrical du bassin post-fracturaire de l'enfant. Evaluation médico-légale du préjudice obstétrical.