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
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