Mid-term follow-up of superior pubic ramus osteotomy in locked symphysis pubis with urethral injury:A case report  

作　　者：Anindansu Basu Navin Shukla Sandeep Velagada Sudarsan Behera 

机构地区：[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

出　　处：《Chinese Journal of Traumatology》2023年第4期244-248,共5页中华创伤杂志（英文版）

摘　　要：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 per-formed 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.

关 键 词：Pubic symphysis Urethral injury Superior pubic osteotomy 

分 类 号：R696[医药卫生—泌尿科学]