Mid-term follow-up of superior pubic ramus osteotomy in locked symphysis pubis with urethral injury: A case report
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 c...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-07-01
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| Series: | Chinese Journal of Traumatology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1008127521000559 |
| _version_ | 1827895889225580544 |
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| author | Anindansu Basu Navin Shukla Sandeep Velagada Sudarsan Behera |
| author_facet | Anindansu Basu Navin Shukla Sandeep Velagada Sudarsan Behera |
| author_sort | Anindansu Basu |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T22:27:09Z |
| format | Article |
| id | doaj.art-dc0213316e6a427c85a29ed35175fd63 |
| institution | Directory Open Access Journal |
| issn | 1008-1275 |
| language | English |
| last_indexed | 2024-03-12T22:27:09Z |
| publishDate | 2023-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Chinese Journal of Traumatology |
| spelling | doaj.art-dc0213316e6a427c85a29ed35175fd632023-07-22T04:51:22ZengElsevierChinese Journal of Traumatology1008-12752023-07-01264244248Mid-term follow-up of superior pubic ramus osteotomy in locked symphysis pubis with urethral injury: A case reportAnindansu Basu0Navin Shukla1Sandeep Velagada2Sudarsan Behera3Department of Orthopaedics, Fortis Hospital, Kolkata, 700107, IndiaDepartment of Orthopaedics, Fortis Hospital, Kolkata, 700107, IndiaDepartment of Orthopaedics, Sahid Laxman Nayak Medical College, Koraput, 7642020, IndiaDepartment of Orthopaedics, Institute of Medical Sciences and Sum Hospital, Bhubaneswar, 751003, India; Corresponding author.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.http://www.sciencedirect.com/science/article/pii/S1008127521000559Pubic symphysisUrethral injurySuperior pubic osteotomy |
| spellingShingle | Anindansu Basu Navin Shukla Sandeep Velagada Sudarsan Behera Mid-term follow-up of superior pubic ramus osteotomy in locked symphysis pubis with urethral injury: A case report Chinese Journal of Traumatology Pubic symphysis Urethral injury Superior pubic osteotomy |
| title | Mid-term follow-up of superior pubic ramus osteotomy in locked symphysis pubis with urethral injury: A case report |
| title_full | Mid-term follow-up of superior pubic ramus osteotomy in locked symphysis pubis with urethral injury: A case report |
| title_fullStr | Mid-term follow-up of superior pubic ramus osteotomy in locked symphysis pubis with urethral injury: A case report |
| title_full_unstemmed | Mid-term follow-up of superior pubic ramus osteotomy in locked symphysis pubis with urethral injury: A case report |
| title_short | Mid-term follow-up of superior pubic ramus osteotomy in locked symphysis pubis with urethral injury: A case report |
| title_sort | mid term follow up of superior pubic ramus osteotomy in locked symphysis pubis with urethral injury a case report |
| topic | Pubic symphysis Urethral injury Superior pubic osteotomy |
| url | http://www.sciencedirect.com/science/article/pii/S1008127521000559 |
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