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Accelerated tibial fracture union in the third trimester of pregnancy: a case report

INTRODUCTION: We present a case of accelerated tibial fracture union in the third trimester of pregnancy. This is of particular relevance to orthopaedic surgeons, who must be made aware of the potentially accelerated healing response in pregnancy and the requirement for prompt treatment. CASE PRESEN...

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Autores principales: Ahmad, Mudussar A, Kuhanendran, Damayanthi, Kamande, Irvine W, Charalambides, Charalambos
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2265291/
https://www.ncbi.nlm.nih.gov/pubmed/18261239
http://dx.doi.org/10.1186/1752-1947-2-44
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author Ahmad, Mudussar A
Kuhanendran, Damayanthi
Kamande, Irvine W
Charalambides, Charalambos
author_facet Ahmad, Mudussar A
Kuhanendran, Damayanthi
Kamande, Irvine W
Charalambides, Charalambos
author_sort Ahmad, Mudussar A
collection PubMed
description INTRODUCTION: We present a case of accelerated tibial fracture union in the third trimester of pregnancy. This is of particular relevance to orthopaedic surgeons, who must be made aware of the potentially accelerated healing response in pregnancy and the requirement for prompt treatment. CASE PRESENTATION: A 40 year old woman at 34 weeks gestational age sustained a displaced fracture of the tibial shaft. This was initially treated conservatively in plaster with view to intra-medullary nailing postpartum. Following an emergency caesarean section, the patient was able to fully weight bear without pain 4 weeks post injury, indicating clinical union. Radiographs demonstrated radiological union with good alignment and abundant callus formation. Fracture union occurred within 4 weeks, less than half the time expected for a conservatively treated tibial shaft fracture. CONCLUSION: Long bone fractures in pregnancy require clear and precise management plans as fracture healing is potentially accelerated. Non-operative treatment is advisable provided satisfactory alignment of the fracture is achieved.
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spelling pubmed-22652912008-03-07 Accelerated tibial fracture union in the third trimester of pregnancy: a case report Ahmad, Mudussar A Kuhanendran, Damayanthi Kamande, Irvine W Charalambides, Charalambos J Med Case Reports Case Report INTRODUCTION: We present a case of accelerated tibial fracture union in the third trimester of pregnancy. This is of particular relevance to orthopaedic surgeons, who must be made aware of the potentially accelerated healing response in pregnancy and the requirement for prompt treatment. CASE PRESENTATION: A 40 year old woman at 34 weeks gestational age sustained a displaced fracture of the tibial shaft. This was initially treated conservatively in plaster with view to intra-medullary nailing postpartum. Following an emergency caesarean section, the patient was able to fully weight bear without pain 4 weeks post injury, indicating clinical union. Radiographs demonstrated radiological union with good alignment and abundant callus formation. Fracture union occurred within 4 weeks, less than half the time expected for a conservatively treated tibial shaft fracture. CONCLUSION: Long bone fractures in pregnancy require clear and precise management plans as fracture healing is potentially accelerated. Non-operative treatment is advisable provided satisfactory alignment of the fracture is achieved. BioMed Central 2008-02-09 /pmc/articles/PMC2265291/ /pubmed/18261239 http://dx.doi.org/10.1186/1752-1947-2-44 Text en Copyright © 2008 Ahmad et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ahmad, Mudussar A
Kuhanendran, Damayanthi
Kamande, Irvine W
Charalambides, Charalambos
Accelerated tibial fracture union in the third trimester of pregnancy: a case report
title Accelerated tibial fracture union in the third trimester of pregnancy: a case report
title_full Accelerated tibial fracture union in the third trimester of pregnancy: a case report
title_fullStr Accelerated tibial fracture union in the third trimester of pregnancy: a case report
title_full_unstemmed Accelerated tibial fracture union in the third trimester of pregnancy: a case report
title_short Accelerated tibial fracture union in the third trimester of pregnancy: a case report
title_sort accelerated tibial fracture union in the third trimester of pregnancy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2265291/
https://www.ncbi.nlm.nih.gov/pubmed/18261239
http://dx.doi.org/10.1186/1752-1947-2-44
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