Patient Safety in Surgery

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Open Access Case report

Severe postpartum disruption of the pelvic ring: report of two cases and review of the literature

Zhiyong Hou1*, John T Riehl2, Wade R Smith2, Kent A Strohecker2 and Patrick J Maloney2

Author Affiliations

1 Department of Orthopaedics, 3rd Hospital, Hebei Medical University, Shijiazhuang, Hebei 050051, PR China

2 Department of Orthopaedic Surgery, Geisinger Clinic, 100N. Academy Ave, Danville, PA 17822, USA

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Patient Safety in Surgery 2011, 5:2 doi:10.1186/1754-9493-5-2

Published: 13 January 2011

Abstract

Pelvic dislocations are rare during labor, and the treatment is controversial. We report two cases of young women who sustained postpartum disruption of the pelvic ring: one case is an 8.8 cm wide separation of the pubic symphysis with sacroiliac joint disruption underwent surgical stabilization and the second case with 4.0 cm disruption being treated non-operatively. These cases illustrated of importance of accurate diagnosis, careful physical exam, fully informed consent and specific treatment for this condition.