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Traumatic Rupture of the Symphysis Pubis and Posterior Fracture Dislocation of the Femur Following Vaginal Delivery: A Case for Symphysiotomy


Etedafe P. Gharoro
Olatunde Onafowokan

Abstract

Mrs. I. M. was a 23 years old primipara referred to UBTH with traumatic rupture of the symphysis pubis and posterior fracture dislocation of the left femoral head, after a delay in the second stage of labour that lasted 3 hours and a crude manoeuvre to deliver the fetus. The baby suffered severe birth asphyxia and convulsive seizures three days postpartum.

She had a closed reduction of the hip joint dislocation and traction. Recovery was satisfactory. Considering this outcome, a properly timed symphysiotomy would have been a better option to the traumatic rupture of the symphysis pubis, if personnel with the appropriate skills were available.


(Tropical Journal of Obstetrics and Gynaecology, 2001, 18(1): 38-39)

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eISSN: 0189-5117