Dr. Cannada shares how orthopaedic trauma can affect the outcome of pregnancy and delivery.
We had a large subgroup, this was completed at Parkland Memorial Hospital in Dallas, Texas. We had 990 pregnant women without orthopedic trauma and 65 women with orthopedic trauma – both were represent the largest series, the largest numbers in the literature.
We directly compared the outcome of these women and women with orthopedic trauma had a 31 percent increase incidents of having a preterm delivery.
In addition they had a 25 percent incidence of having a low birth weight infant and the rate of placental abruption and perinatal mortality was also significantly increased in women with orthopedic trauma. And we looked back, we thought, oh it must be the women with pelvic fractures. While we looked at all the injuries there was long bone fractures at the lower extremity four.
There was 47 people that broke their ankle or their P-line or their tibial plateau which is near the knee. They broke those bones and there was 19 women who broke their wrist or forearm, two people with spine fractures, yet these women with this wide variety of injuries all had a poor outcome whether they had surgery for their fractures or not or whether the severity of the injury did not really affect the outcome. It’s just the stress of a pregnant trauma patient with an orthopedic injury.
About Dr. Cannada, M.D.:
Dr. Lisa K. Cannada, M.D., is an orthopaedic trauma surgeon with an extensive background in teaching and orthopaedic trauma surgery. She completed her medical school at University of Maryland in 1996 and entered her residency at University Hospitals of Cleveland. She came back to Maryland for her trauma fellowship at the RA Cowley Shock Trauma Center in Maryland.
She worked at Grady Hospital in Atlanta, Georgia for three years before accepting a position at the University of Texas-Southwestern. She truly loves her career as an orthopaedic trauma surgeon and is a strong advocate for Women in Orthopaedic Surgery.