Surgically Treated Fractures During Pregnancy: Fracture Patterns, Anesthetic Strategy, Radiation Considerations and Maternal Outcomes

Surgically Treated Fractures During Pregnancy: Fracture Patterns, Anesthetic Strategy, Radiation Considerations and Maternal Outcomes | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Surgically Treated Fractures During Pregnancy: Fracture Patterns, Anesthetic Strategy, Radiation Considerations and Maternal Outcomes Bahar Acemoğlu Abul, Ayşenur Erbin, Ruken Abul Toz, Hüsnü Yılmaz, and 3 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-8692309/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Purpose: Fractures occurring during pregnancy pose unique challenges related to fetal safety, anesthesia management, and radiation exposure. This study aimed to evaluate fracture patterns, surgical strategies, anesthetic approaches, radiation exposure, and maternal–fetal outcomes in pregnant patients undergoing operative fracture treatment. Methods: A retrospective cohort study was conducted including pregnant patients treated for fractures between 2014 and 2023. Of the 30 identified patients, 19 who underwent surgical treatment were included in the analysis. Patients managed conservatively (n = 9), those with insufficient clinical and radiological data (n = 1), and patients with pathological fractures (n = 1) were excluded. Demographic characteristics, gestational age at injury, mechanism of trauma, fracture type, anesthesia modality, fluoroscopy exposure, fracture union time, complications, and obstetric outcomes were analyzed. Results: The mean maternal age was 29.8 years, and the mean gestational age at the time of injury was 21.4 weeks. Lower extremity fractures were the most common, with ankle fractures being predominant. Regional anesthesia was preferred whenever feasible. Fluoroscopy exposure was minimized in all cases. Fracture union was achieved in all patients. No anesthesia- or radiation-related fetal complications were observed. Conclusion: Surgically treated fractures during pregnancy can be managed safely with a multidisciplinary approach, appropriate anesthesia selection, and strict adherence to radiation safety protocols. anesthesia fetal safety fracture surgery pregnancy radiation safety Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-8692309","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":596376140,"identity":"18c685e7-5443-4c3f-b3f9-bc41b36f4546","order_by":0,"name":"Bahar Acemoğlu Abul","email":"","orcid":"","institution":"Zeynep Kamil Hospital","correspondingAuthor":false,"prefix":"","firstName":"Bahar","middleName":"Acemoğlu","lastName":"Abul","suffix":""},{"id":596376141,"identity":"e35a1409-70fa-4748-9205-5bf32327bc10","order_by":1,"name":"Ayşenur Erbin","email":"","orcid":"","institution":"Zeynep Kamil 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Outcomes\u003c/p\u003e","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"anesthesia, fetal safety, fracture surgery, pregnancy, radiation safety","lastPublishedDoi":"10.21203/rs.3.rs-8692309/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-8692309/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003ePurpose:\u003c/h2\u003e \u003cp\u003eFractures occurring during pregnancy pose unique challenges related to fetal safety, anesthesia management, and radiation exposure. This study aimed to evaluate fracture patterns, surgical strategies, anesthetic approaches, radiation exposure, and maternal\u0026ndash;fetal outcomes in pregnant patients undergoing operative fracture treatment.\u003c/p\u003e\u003ch2\u003eMethods:\u003c/h2\u003e \u003cp\u003eA retrospective cohort study was conducted including pregnant patients treated for fractures between 2014 and 2023. Of the 30 identified patients, 19 who underwent surgical treatment were included in the analysis. Patients managed conservatively (n\u0026thinsp;=\u0026thinsp;9), those with insufficient clinical and radiological data (n\u0026thinsp;=\u0026thinsp;1), and patients with pathological fractures (n\u0026thinsp;=\u0026thinsp;1) were excluded. Demographic characteristics, gestational age at injury, mechanism of trauma, fracture type, anesthesia modality, fluoroscopy exposure, fracture union time, complications, and obstetric outcomes were analyzed.\u003c/p\u003e\u003ch2\u003eResults:\u003c/h2\u003e \u003cp\u003eThe mean maternal age was 29.8 years, and the mean gestational age at the time of injury was 21.4 weeks. Lower extremity fractures were the most common, with ankle fractures being predominant. Regional anesthesia was preferred whenever feasible. Fluoroscopy exposure was minimized in all cases. Fracture union was achieved in all patients. No anesthesia- or radiation-related fetal complications were observed.\u003c/p\u003e\u003ch2\u003eConclusion:\u003c/h2\u003e \u003cp\u003eSurgically treated fractures during pregnancy can be managed safely with a multidisciplinary approach, appropriate anesthesia selection, and strict adherence to radiation safety protocols.\u003c/p\u003e","manuscriptTitle":"Surgically Treated Fractures During Pregnancy: Fracture Patterns, Anesthetic Strategy, Radiation Considerations and Maternal Outcomes","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2026-02-25 14:31:04","doi":"10.21203/rs.3.rs-8692309/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"cf8eaadb-d093-4cb8-a01e-f26f7a6b6a7b","owner":[],"postedDate":"February 25th, 2026","published":true,"recentEditorialEvents":[{"type":"decision","content":"Rejected","date":"2026-05-08T17:41:15+00:00","index":"","fulltext":""}],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2026-05-08T17:54:53+00:00","versionOfRecord":[],"versionCreatedAt":"2026-02-25 14:31:04","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-8692309","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-8692309","identity":"rs-8692309","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}