Mid-term follow-up of superior pubic ramus osteotomy in locked symphysis pubis with urethral injury: A case report.
10.1016/j.cjtee.2021.03.008
- Author:
Anindansu BASU
1
;
Navin SHUKLA
1
;
Sandeep VELAGADA
2
;
Sudarsan BEHERA
3
Author Information
1. Department of Orthopaedics, Fortis Hospital, Kolkata, 700107, India.
2. Department of Orthopaedics, Sahid Laxman Nayak Medical College, Koraput, 7642020, India.
3. Department of Orthopaedics, Institute of Medical Sciences and Sum Hospital, Bhubaneswar, 751003, India. Electronic address: sudarsanctc@gmail.com.
- Publication Type:Case Reports
- Keywords:
Pubic symphysis;
Superior pubic osteotomy;
Urethral injury
- MeSH:
Humans;
Pubic Bone/injuries*;
Follow-Up Studies;
Osteotomy, Sagittal Split Ramus;
Pelvis;
Urethra/surgery*;
Pubic Symphysis/injuries*
- From:
Chinese Journal of Traumatology
2023;26(4):244-248
- CountryChina
- Language:English
-
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.
