Plate fixation of the symphysis after symphysiotomy: A case report.

Q4 Medicine

Trauma Case Reports Pub Date : 2026-05-21 eCollection Date: 2026-08-01 DOI:10.1016/j.tcr.2026.101387

B W Hepkema, L R Werf van der, E Nol, W Wegdam, D Embden van

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引用次数: 0

Abstract

Background: Symphysiotomy is a rarely performed obstetric procedure with known risks of long-term maternal morbidity.

Case: We present the case of a 26-year-old woman who developed pelvic instability following a symphysiotomy performed during a delivery complicated by shoulder dystocia and neonatal death. Diagnostic imaging revealed pathological mobility of the pubic symphysis. Surgical stabilization with plate osteosynthesis via a modified Stoppa approach resulted in early recovery with almost normal functional outcomes in the first weeks after surgery.

Conclusion: Persistent pelvic instability following symphysiotomy can significantly impair function and quality of life. This case highlights that surgical fixation of the pubic symphysis, can lead to full functional recovery. Early recognition of patients who are likely to benefit from surgery is important. Early surgical intervention may be essential for quick recovery and restore mobility, especially in cases of marked diastasis.

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联合骨切开术后联合骨钢板固定1例。

背景：联合节切开术是一种罕见的产科手术，已知有长期产妇发病的风险。病例：我们报告了一位26岁的妇女，她在分娩过程中行联合切开术并发肩难产和新生儿死亡，随后出现骨盆不稳。诊断影像显示耻骨联合的病理性活动。经改良的Stoppa入路钢板固定术可在术后第一周内早期恢复，功能基本正常。结论：联合骨切开术后骨盆持续不稳会严重影响功能和生活质量。本病例强调手术固定耻骨联合可导致功能完全恢复。早期识别可能从手术中获益的患者是很重要的。早期手术干预对于快速恢复和恢复活动能力是必要的，特别是在明显的转移的情况下。

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

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.