Nonoperative Management of Both Column Acetabular Fracture and Protrusio Acetabuli in a Pregnant Patient: A Case Report.

Q4 Medicine

JBJS case connector Pub Date : 2024-08-26 eCollection Date: 2024-07-01 DOI:10.2106/JBJS.CC.23.00690

Trevor R Case, R Casey Rice, Michael Trumbo, Victoria Holm, Mikayla Kricfalusi, Jeremy Brown, Rebecca Rajfer

引用次数: 0

Abstract

Case: We present a case of a 39-year-old woman at 23 weeks gestation who sustained traumatic both-column acetabular fracture and protrusio acetabuli, managed with initial traction and delayed total hip arthroplasty (THA) until after cesarean section delivery.

Conclusion: Initial skeletal traction with subsequent delayed THA may be a viable treatment option in select pregnant female patients who sustain both-column acetabular fractures. Interdisciplinary collaboration is necessary to optimize maternal-fetal health and provide patient education of procedural risk to enable informed decision making.

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一名孕妇双柱髋臼骨折和髋臼前突的非手术治疗：病例报告。

病例：我们介绍了一例 39 岁女性妊娠 23 周时髋臼双柱外伤性骨折和髋臼前突的病例，该患者在接受初期牵引后，延迟至剖宫产后进行全髋关节置换术（THA）：结论：初始骨骼牵引和随后的延迟全髋关节置换术可能是一种可行的治疗方案，适用于部分髋臼双柱骨折的妊娠期女性患者。有必要开展跨学科合作，以优化母婴健康，并对患者进行手术风险教育，使其在知情的情况下做出决定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.