Ankle Fracture Surgery on a Pregnant Patient Complicated by Intraoperative Emergency Caesarian Section
We report the case of a woman in the third trimester of pregnancy who sustained an ankle fracture dislocation that could not be adequately closed reduced. After discussions with the patient, her obstetrician, and the anesthesiologists, she was indicated for surgical fixation. A heart tone monitor wa...
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2013-01-01
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Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2013/962794 |
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doaj-9897eccdd89d43c388250742f6aae4932020-11-24T23:02:05ZengHindawi LimitedCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/962794962794Ankle Fracture Surgery on a Pregnant Patient Complicated by Intraoperative Emergency Caesarian SectionRan Schwarzkopf0Steven C. Gross1Allen Coopersmith2Ramesh Gidumal3Department of Orthopaedic Surgery, UC Irvine Medical Center, 101 The City Drive South Pavillion III, Orange, CA 92868, USADepartment of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 301 E. 17th Street, New York, NY 10003, USADepartment of Anesthesia, NYU Hospital for Joint Diseases, 301 E. 17th Street, New York, NY 10003, USADepartment of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 301 E. 17th Street, New York, NY 10003, USAWe report the case of a woman in the third trimester of pregnancy who sustained an ankle fracture dislocation that could not be adequately closed reduced. After discussions with the patient, her obstetrician, and the anesthesiologists, she was indicated for surgical fixation. A heart tone monitor was used to assess fetal health during the procedure. During surgical incision, the fetus went into distress, and an emergency caesarian section was performed. After delivery of the infant and abdominal closer, surgery was completed. Due to a cohesive team effort, both the patient and her infant had excellent outcomes. There are many important considerations in the surgical management of the pregnant patient with traumatic orthopaedic injuries. Of especial importance to the orthopaedic surgeon is the impact of patient positioning on uteroplacental blood flow. This report discusses factors that should be taken into account by any orthopaedist who plans to operate on a pregnant patient.http://dx.doi.org/10.1155/2013/962794 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ran Schwarzkopf Steven C. Gross Allen Coopersmith Ramesh Gidumal |
spellingShingle |
Ran Schwarzkopf Steven C. Gross Allen Coopersmith Ramesh Gidumal Ankle Fracture Surgery on a Pregnant Patient Complicated by Intraoperative Emergency Caesarian Section Case Reports in Orthopedics |
author_facet |
Ran Schwarzkopf Steven C. Gross Allen Coopersmith Ramesh Gidumal |
author_sort |
Ran Schwarzkopf |
title |
Ankle Fracture Surgery on a Pregnant Patient Complicated by Intraoperative Emergency Caesarian Section |
title_short |
Ankle Fracture Surgery on a Pregnant Patient Complicated by Intraoperative Emergency Caesarian Section |
title_full |
Ankle Fracture Surgery on a Pregnant Patient Complicated by Intraoperative Emergency Caesarian Section |
title_fullStr |
Ankle Fracture Surgery on a Pregnant Patient Complicated by Intraoperative Emergency Caesarian Section |
title_full_unstemmed |
Ankle Fracture Surgery on a Pregnant Patient Complicated by Intraoperative Emergency Caesarian Section |
title_sort |
ankle fracture surgery on a pregnant patient complicated by intraoperative emergency caesarian section |
publisher |
Hindawi Limited |
series |
Case Reports in Orthopedics |
issn |
2090-6749 2090-6757 |
publishDate |
2013-01-01 |
description |
We report the case of a woman in the third trimester of pregnancy who sustained an ankle fracture dislocation that could not be adequately closed reduced. After discussions with the patient, her obstetrician, and the anesthesiologists, she was indicated for surgical fixation. A heart tone monitor was used to assess fetal health during the procedure. During surgical incision, the fetus went into distress, and an emergency caesarian section was performed. After delivery of the infant and abdominal closer, surgery was completed. Due to a cohesive team effort, both the patient and her infant had excellent outcomes. There are many important considerations in the surgical management of the pregnant patient with traumatic orthopaedic injuries. Of especial importance to the orthopaedic surgeon is the impact of patient positioning on uteroplacental blood flow. This report discusses factors that should be taken into account by any orthopaedist who plans to operate on a pregnant patient. |
url |
http://dx.doi.org/10.1155/2013/962794 |
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