Cesarean section and osteosynthesis of lower limb fractures in the same surgical procedure.
BACKGROUND
Orthopedic trauma during pregnancy can cause serious complications such as premature birth, stillbirth and maternal morbidities.


METHODS
We report the case of a patient at 38 weeks pregnancy who fractured the left ankle and the right fifth metatarsal after falling. Cesarean section and osteosynthesis were performed in the usual manner in the same surgical procedure. There were no postoperative complications.


CONCLUSIONS
Pregnancy and puerperium are associated with a hypercoagulable state. The early mobilization provided by surgical treatment of the fractures reduced the risks of thromboembolic events.


CONCLUSIONS
The approach adopted may be used as an example for future procedures done in similar situations.
Federal University of Sao Paulo, Brazil. Electronic address: andre.epm@gmail.com.
Andre
A
Wajnsztejn
University of Sao Paulo, Brazil.
Leandro
L
Ejnisman
University of Sao Paulo, Brazil.
Eduardo
E
Zlotnik
University of Sao Paulo, Brazil.
Luiz Roberto
LR
Zitron
Federal University of Sao Paulo, Brazil.
Benno
B
Ejnisman
Federal University of Sao Paulo, Brazil.
Moises
M
Cohen
Bone fractures; Pregnancy, Cesarean section