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Plate fixation of the symphysis after symphysiotomy: A case report
B W Hepkema1, L R Werf van der2, E Nol3
1AmsterdamUMC location AMC, Department of Physical Medicine and Rehabilitation, Meibergdreef 9, Amsterdam, the Netherlands.
Background:
Symphysiotomy is a rarely performed obstetric procedure with known risks of long-term maternal morbidity.
Case:
We present the case of a 26-year-old woman who developed pelvic instability following a symphysiotomy performed during a delivery complicated by shoulder dystocia and neonatal death. Diagnostic imaging revealed pathological mobility of the pubic symphysis. Surgical stabilization with plate osteosynthesis via a modified Stoppa approach resulted in early recovery with almost normal functional outcomes in the first weeks after surgery.
Conclusion:
Persistent pelvic instability following symphysiotomy can significantly impair function and quality of life. This case highlights that surgical fixation of the pubic symphysis, can lead to full functional recovery. Early recognition of patients who are likely to benefit from surgery is important. Early surgical intervention may be essential for quick recovery and restore mobility, especially in cases of marked diastasis.
