Plate fixation of the symphysis after symphysiotomy: A case report
B.W. Hepkema, L.R. Werf van der, E. Nol, W. Wegdam, D. Embden van · 2026
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Description
B.W. Hepkema and colleagues report surgical repair of pelvic instability after symphysiotomy in a 2026 case report. Symphysiotomy cuts the pubic joint to widen the pelvis during obstructed labor, a rare intervention that can leave lasting pelvic problems. Their patient, a twenty-six-year-old woman, had the procedure during a delivery complicated by shoulder dystocia in which the baby died.
Imaging afterward showed abnormal movement at the pubic symphysis, the joint at the front of the pelvis. Her instability was marked, beyond what physiotherapy and supports usually manage. Surgeons fixed the joint with a plate through a modified Stoppa approach, a route from inside the pelvis. Recovery was swift, with nearly normal function within the first weeks after surgery. The authors argue that patients with major separation should be recognized early, so prompt fixation can restore mobility.
Catalog record
| CREATOR | B.W. Hepkema, L.R. Werf van der, E. Nol, W. Wegdam, D. Embden van |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 13 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |