Intramedullary Nailing at 36Weeks of Gestation: An Effective Surgical Option for Tibial Fracture

Abstract

Nowadays, tibial shaft fractures are a frequently encountered among orthopedic traumas. Although there are many treatment options for tibial shaft fractures, currently the gold standard is intramedullary nailing. Tibia fractures rarely occur in the 3rd trimester of pregnancy. The treatment of tibial shaft fractures during pregnancy is controversial, and there are quite few papers in the literature. We applied the intramedullary nailing method in tibial shaft fracture in a woman at the 36th week of pregnancy. No complications occurred in the mother or fetus during or after surgery. The patient gave birth with cesarean section due to fetal distress in another hospital 2 weeks after discharge in the 38th gestational week. Herein, we aimed to present successful treatment of a tibial shaft fracture with intramedullary nailing which occurred during late period of pregnancy, with the review of literature.