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Orthopedic trauma in pregnancy
1Department of Orthopaedics and Rehabilitation, University of Florida Health Science Center, Jacksonville, FL 32209, USA. pratik.desai@jax.ufl.edu
American Journal of Orthopedics (Belle Mead, N.J.)
|December 14, 2007
Summary
Orthopedic trauma in pregnancy is manageable with minimal radiation risks. Safe anesthesia, pain management, and anticoagulation options exist, allowing operative care for fractures.
Area of Science:
- Orthopedic Surgery
- Obstetrics
- Radiology
Background:
- Pregnancy with orthopedic trauma presents unique challenges for patients and surgeons.
- Concerns include radiation exposure, anesthesia, pain management, and anticoagulation.
Purpose of the Study:
- To review and address common concerns regarding orthopedic care during pregnancy.
- To provide evidence-based guidance on managing orthopedic injuries in pregnant patients.
Main Methods:
- Literature review of safety data for radiation, anesthesia, anticoagulation, and pain management in pregnancy.
- Analysis of risks and benefits for operative and non-operative management.
Main Results:
- Radiation exposure from X-rays for operative planning is minimal (<5 rad cumulative dose).
- Most Category C anesthetics are safe for pregnancy; perioperative opioid use is recommended for pain.
- Low-molecular-weight heparin and fondaparinux are safe anticoagulation choices.
Conclusions:
- Pregnancy is not a contraindication for surgical management of pelvic and acetabular fractures.
- Multidisciplinary care ensures patient and staff safety during orthopedic procedures in pregnant individuals.
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