Management of the Multiple Traumatic Injuries in a Pregnant Woman Following Motor Vehicle Collision: A Case Report
DOI:
https://doi.org/10.52340/GBMN.2025.01.01.138Keywords:
Ankle fracture, case report, fracture management, maternal polytrauma, motor vehicle accident, Open reduction and internal fixation (ORIF), subtrochanteric fractureAbstract
Trauma in pregnancy poses a unique challenge for clinicians, as two patients need to be managed simultaneously. The treatment priorities are the same as for the non-pregnant trauma patient: optimum resuscitation of the mother. Furthermore, pregnancy-related anatomic and physiological changes need special consideration while resuscitating the pregnant lady. We report a case of a 27-year-old pregnant woman at 31 weeks of gestation involved in a severe motor vehicle collision. Managing polytrauma in a pregnant patient, encompassing obstetric evaluation, extensive diagnostic imaging, and multidisciplinary surgical intervention. Surgery was promptly performed, and the patient had a successful outcome. This case highlights the importance of prompt, coordinated management in pregnant trauma patients to ensure optimal recovery. Despite the difficulties, the patient's follow-up results indicated a positive outcome.References
Agrawal S, Singh V, Nayak PK. Polytrauma during pregnancy. J Orthop Traumatol Rehabil. 2013;6(1):63-69.
Jain V, Chari R, Maslovitz S. Guidelines for the management of a pregnant trauma patient. J Obstet Gynaecol Can. 2015;37(6):553-571.
Kuhmola A, Simons T, Handolin L. Surgical strategy for femoral shaft fractures in severely injured patients: a 13-year experience from a tertiary trauma center. Injury. 2021;52(4):956-960.
Lotzien S, Hoberg C, Rausch V. Open reduction and internal fixation of humeral midshaft fractures: anterior versus posterior plate fixation. BMC Musculoskelet Disord. 2019;20:527.
Macera A, Carulli C, Sirleo L. Postoperative complications and reoperation rates following open reduction and internal fixation of ankle fracture. Joints. 2018;6(2):110-115.
