Operative Fixation of Acetabular Fractures in the Pregnant Patient

作者：Scott E. Porter, George V. Russell, Zhen Qin, Matthew L. Graves · 发表于：Journal of Orthopaedic Trauma · 年份：2008 · DOI：10.1097/bot.0b013e3181847a42 · 被引用次数：40 · 研究领域：Pregnancy-related medical research、Pelvic and Acetabular Injuries、Urological Disorders and Treatments

OBJECTIVE: To describe in utero radiation exposures in pregnant patients undergoing acetabular fracture repair. DESIGN: Retrospective case series. SETTING: University-affiliated regional trauma center. PATIENT/PARTICIPANTS: Eight pregnant patients with acetabular fractures treated over a 6-year period. There were an additional 518 acetabular fractures in nonpregnant patients treated during the same time period. INTERVENTION: Open reduction and internal fixation of the acetabulum fracture. OUTCOME MEASUREMENTS: None. This is a descriptive series reporting fetal radiation doses, fetal fluoroscopy exposure times, and fetal viability after treatment. RESULTS: The gestational age of the fetuses at presentation ranged from 5 to 26 weeks. Infant delivery averaged 27 weeks from the time of surgery and all pregnancies reached 36 weeks. Apgar scores were normal each child including 1 twin delivery. There were 4 posterior wall fractures, 3 transverse or posterior wall fractures, and 1 posterior column fracture. Intraoperative pelvic fluoroscopy averaged 39 seconds. There were no operative complications and fracture reductions were anatomic in 7 patients. Computed tomography scan of the pelvis conferred the greatest exposure risk to the fetus and fluoroscopy conferred the least. In each case that required a computed tomography scan of the pelvis, the calculated radiation exposure dose to the fetus was greater than 5 cGy. CONCLUSIONS: The results of this study demonstrate that with a team...