external fixator as a viable treatment option for combined pelvic ring and sacrum fracture in a pregnant patient: a case report

We report a case of a 32-year-old pregnant woman who suffered a combined type pelvic fracture and medial malleolus fracture due to a car accident at 24 weeks and 2 days of gestation. she underwent external fixation of the pelvic ring and percutaneous screw fixation of the ankle fracture. she recovered well and delivered a healthy baby by cesarean section at 37 weeks and 1-day gestation. external fixation can be a definitive treatment option for some pelvic fractures with anterior instability in pregnant patients, as it reduces the risk of fetal harm.