Postpartum pubic separation over 5 cm, in 28 yr old female, treated by stainless steel (SS) wiring through obturator foramen
Journal Title: Medpulse International Journal of Orthopedics - Year 2017, Vol 1, Issue 1
Abstract
The post partum pubic symphysis separation is an uncommon complication after term vaginal delivery. It occurs more commonly due to manual pressure applied to the pelvis in a latero-lateral and antero-posterior direction during normal vaginal delivery. The reported incidence of peripartum pubic separation varies from 1 in 300 to 1 in 30,000 deliveries. Mild separation of the symphysis pubis up to 0.5 to 1 cm during pregnancy is considered physiological. As per knowledge of author only handfull cases are reported in literature, Here we have a case of 28 year old female with postpartum pubic separation 5.1 cm, treated surgically by using stainless steel (SS) wiring through obturator foramen, which is new and more physiological technique for treating pubic separation. Pubic symphysis is a secondary cartilaginous joint where always a micromotion in vertical direction during one stance and walking is present. Hence our less rigid SS wire construct never obliterate micromotion which is more physiological. Operative treatment by an open reduction and stainless steel wiring through obturator foramen yielded excellent results.
Authors and Affiliations
Nilesh Keche, Kiran Patil, Harshal Kalambe
Keywords
Related Articles
- EP ID EP261666
- DOI -
- Views 62
- Downloads 0
Fracture neck of femur treated with Austin Moore prosthesis - 10 year follow up
Background: Unipolar hemiarthroplasty still better than bipolar hemiarthroplasty in terms of range of motion, daily activities in Indian rural population. Minimum age of the patient is 60 years. AMP also has some advanta...
The analysis of factors causing functional disabilities in osteoarthritis of the knee: A prospective study
Osteoarthritis(OA) of the knee is one of the most common diagnoses made in the Orthopaedic out patient department and is also the most common type of arthritis in India. The prevalence of OA is high in the elderly, espec...
Single stage arthroscopic anterior cruciate and posterior cruciate ligament reconstruction using hamstring tendon autograft
Aim: A prospective study of functional outcome of patients with single stage Arthroscopic Anterior and Posterior cruciate ligament reconstruction using hamstring tendon autograft with a minimum follow up of 2 years. Mate...
Bacterial flora and their antibiotic susceptibility patterns in open fracture wounds at a tertiary hospital of north India
The changes in pathogenic microbiological flora and the emergence of bacterial resistance have created major problems in the management of open fractures. A better understanding is required of the patterns or predilectio...
Study of Study of result of early intervention in idiopathic clubfoot by Ponseti method of early intervention in idiopathic clubfoot by Ponseti method
In a study of 30 clubfoot patients in orthopedic unit in MGM Medical college, Aurangabad with a incidence rate of 1:1000 live birth, this patients are treated with Ponseti Method.