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Using an Elastic Band Device After a Severe Obstetric Pubic Symphyseal Separation: Clinical and Imaging Evaluation

Abstract : BACKGROUND: Severe separation of the pubic symphysis is a rare delivery complication. Facing this pathology, we decided to study a new elastic band device. METHOD: To evaluate the elastic band device, clinical (pain-rated) and imaging (magnetic resonance imaging and radiography) evaluations with and without the device were performed. The elastic band device is a European Conformity-certified medical device, which is made of neoprene straps, that reduces the mobility of the pelvis and the use of the internal rotator muscles. EXPERIENCE: Once the elastic band device was in place, on postpartum day 1, radiography showed a decrease of the pubic width from 41 to 12 mm. Furthermore, pain decreased from 10 of 10 to 2 of 10 in 2 days, allowing the patient to ambulate and avoid surgery. After 1 month, the pubic width (6 mm) and anatomy were recovered but minor pain was still present with hip rotatory movements. The elastic band device was worn 24 hours a day from postpartum days 1-90 and 12 hours a day from postpartum days 90 to 150; afterward, the patient returned to normal life without the elastic band device. CONCLUSION: Use of an elastic band device was associated with a reduction of the pubic width and pain associated after obstetric pubic symphysis separation.
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https://hal-univ-rennes1.archives-ouvertes.fr/hal-01579729
Contributor : Laurent Jonchère <>
Submitted on : Thursday, August 31, 2017 - 3:28:45 PM
Last modification on : Sunday, June 7, 2020 - 12:10:04 PM

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Jérémy Lasbleiz, François-Xavier Sevestre, Pierre-Yves Moquet. Using an Elastic Band Device After a Severe Obstetric Pubic Symphyseal Separation: Clinical and Imaging Evaluation. Obstetrics and Gynecology, Lippincott, Williams & Wilkins, 2017, 130 (3), pp.625-629. ⟨10.1097/AOG.0000000000002194⟩. ⟨hal-01579729⟩

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