Mid-term follow-up of superior pubic ramus osteotomy in locked symphysis pubis with urethral injury: A case report / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
; (6): 244-248, 2023.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-981915
Responsible library:
WPRO
ABSTRACT
A locked pubic ramus body is an unusual variant of lateral compression injury. Till date, there have been only 25 cases reported in the published literature. We herein described a case where the right pubic ramus was entrapped within the opposite obturator foramen with an overlap of greater than 4 cm, with associated urethral injury. When all maneuvers of closed and instrumented reduction failed, we performed a superior pubic ramus osteotomy on the left side and unlocked the incarcerated right pubic ramus. The osteotomy site was stabilized with a 6-hole recon plate. The patient underwent delayed urethral repair 10 weeks after the index surgery. At 3-year follow-up, the patient has sexual dysfunction especially difficulty in maintaining erection, secondary urethral stricture, heterotopic ossification, and breakage of implants.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Pelvis
/
Pubic Bone
/
Pubic Symphysis
/
Urethra
/
Follow-Up Studies
/
Osteotomy, Sagittal Split Ramus
Limits:
Humans
Language:
English
Journal:
Chinese Journal of Traumatology
Year:
2023
Document type:
Article