External Fixator as a Viable Treatment Option for Combined Pelvic Ring and Sacrum Fracture in a Pregnant Patient: A Case Report

Document Type : CASE REPORT


Bone and Joint reconstruction research center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran


We report a case of a 32-year-old pregnant woman who suffered a combined type pelvic fracture and 
medial malleolus fracture due to a car accident at 24 weeks and 2 days of gestation. She underwent 
external fixation of the pelvic ring and percutaneous screw fixation of the ankle fracture. She recovered 
well and delivered a healthy baby by cesarean section at 37 weeks and 1-day gestation. External 
fixation can be a definitive treatment option for some pelvic fractures with anterior instability in pregnant 
patients, as it reduces the risk of fetal harm.
 Level of evidence: IV


Main Subjects

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