title: Traumatic tibia and fibula fracture in a 36 weeks' pregnant patient: a case report.
abstract: BACKGROUND
  Bone fracture management in third-trimester pregnant patients is rare and poorly discussed in the literature. In the case of fractures that require orthopedic surgery in near-term pregnant women, clinicians should decide between operating before or after the delivery, carefully evaluating the health of the mother and fetus.
  
  
  METHODS
  A pregnant 41-year-old woman at 36 weeks' gestation had a traumatic midshaft displaced tibia and fibula fracture. A multispecialty team approach resulted in nonoperative treatment until delivery. The sudden spontaneous premature rupture of membranes led to a preterm cesarean section. Five days after cesarean section, the patient underwent surgery for open reduction and internal fixation with pins and plates. The patient recovered well and was discharged with her baby.
  
  
  CONCLUSIONS
  The clinical and surgical management of bone fractures in pregnant women should be determined by a multispecialty team, and a tailored intervention should be chosen for each patient.
authors.affiliation: Department of Science for Woman and Child Health, University of Florence, Florence, Italy.
authors.forename: Flavia
authors.initials: F
authors.lastname: Sorbi
authors.affiliation: Department of Science for Woman and Child Health, University of Florence, Florence, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Sisti
authors.affiliation: Department of Science for Woman and Child Health, University of Florence, Florence, Italy.
authors.forename: Mariarosaria
authors.initials: M
authors.lastname: Di Tommaso
authors.affiliation: Department of Science for Woman and Child Health, University of Florence, Florence, Italy.
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Fambrini
keywords: Cesarean section; fibula; fractures—bone; pregnancy; tibia