Successful limb salvage and fetal preservation in the second trimester of pregnancy complicated with severe destructive injury of left lower limb: a case report
10.3760/cma.j.cn441206-20240307-00064
- VernacularTitle:中期妊娠合并左下肢严重毁损伤保肢保胎成功1例
- Author:
Peng WANG
1
;
Qiqiang DONG
1
;
Lei ZHANG
1
;
Shuqiang XIE
1
;
Shengjun LI
1
;
Hongxin WANG
1
;
Jianxi HOU
1
Author Information
1. 郑州仁济医院创伤骨科，郑州 450000
- Publication Type:Journal Article
- Keywords:
Lower limb;
Destructive injury;
Second trimester;
Microsurgical technique
- From:
Chinese Journal of Microsurgery
2024;47(6):706-708
- CountryChina
- Language:Chinese
-
Abstract:
This paper reports a successful limb salvage and fetal preservation in the Department of Orthopaedic Surgery, Zhengzhou Renji Hospital, for a 31-year old pregnant woman who was in the second trimester of pregnancy and suffered a severe destructive injury of left lower limb in July 2019. After thorough debridement and proper fracture fixation, microsurgical and Ilizarove techniques were applied to reconstruct bone and large soft tissue defects as well as the limb functions. Postoperative rehabilitation was conducted. A boy was delivered by cesarean section at 35 weeks. Osteotomy of femur, tibia and fibula and fixation with external fixator were performed at 6 months after surgery. The femoral external fixator was removed at 11 months after surgery, and the calf external fixator was removed at 18 months after surgery. At the 3-year postoperative follow-up, the boy was in good intellectual development, and had good appearance and satisfactory functional recovery of the affected lower limb.
