Open reduction and internal stabilization of acetabular fractures in pregnancy--case report.
Pelvic and acetabular fractures are common injuries in the time of rising traffic level and often affect young people, that's why this kind of injury during pregnancy must be considered. Despite lapse of years this subject is seldom raised in literature. Conservative treatment was usually recommended. We came across a single case report of surgical treatment of acetabular fracture during pregnancy, it was 18th week of pregnancy at the moment of accident. The aim of this study is detailed description of surgical treatment of hip joint acetabular fracture with fragment dislocation of 29 years old female at 27th week of pregnancy. Patient was involved in road accident, car passenger, she suffered: transverse fracture of the hip acetabulum with central dislocation of the femoral head, left distal radius fracture, head injury with concussion, numerous face injuries. Patient was treated surgically in 15 day after accident: open reposition and synthesis of a fracture. Course of operation as planed. Patient was discharged and advised to walk with crutches. Patient delivered healthy child by caesarean section at full-term afterwards. The outcome of acetabular fracture treatment was very good (18 points on a scale Merle d'Aubigne-Matta).
Clinic of Orthopaedics, Department of Pathology and Pelvic Injury, Postgraduate Medical Centre in Otwock. adamcaban@op.pl
Adam
A
Caban
Marcin
M
Złotorowicz
Bohdan
B
Sokólski
Wojciech
W
Marczyński
D000063:Accidents, Traffic; D000077:Acetabulum / Q000293:injuries / Q000601:surgery*; D000328:Adult; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000601:surgery*; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome