Tsehaye Milkias, Teklu Daniel
Department of Orthopedic Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Int Med Case Rep J. 2021 Oct 28;14:743-747. doi: 10.2147/IMCRJ.S316296. eCollection 2021.
Locked pubic symphysis or overlapping symphysis is a rare injury which happens when a pubic bone displaces behind the contra lateral pubic rami. It usually arises from lateral compression injuries. In this case report, we try to share our experience on the operative fixation of locked pubic symphysis and concomitant ipsilateral acetabular fracture.
A 24-year-old male patient presented after a road traffic accident with lateral compression injury to the pelvis. He was found to have locked pubic symphysis, right side transverse acetabular, and right side closed tibial fracture. He was taken to the operation theater 10 days later after he was managed for the additional chest contusion he had. Successful open reduction and plate fixation of the overlapped symphysis and percutaneous screw fixation of the ipsilateral acetabulum were done at the same time. An intramedullary nail was inserted for the tibial fracture.
Locked symphysis is a rare trauma and even more complex when associated with acetabular fracture. Both situations may happen at the same time and could be managed operatively.
耻骨联合绞锁或耻骨联合重叠是一种罕见的损伤，发生于一侧耻骨移位至对侧耻骨支后方时。它通常由侧方挤压伤引起。在本病例报告中，我们试图分享耻骨联合绞锁合并同侧髋臼骨折手术固定的经验。
一名24岁男性患者在道路交通事故后因骨盆侧方挤压伤就诊。发现其存在右侧耻骨联合绞锁、右侧髋臼横行骨折及右侧胫骨闭合性骨折。在对其合并的胸部挫伤进行处理10天后，将其送入手术室。同时成功进行了重叠耻骨联合的切开复位钢板固定及同侧髋臼的经皮螺钉固定。对胫骨骨折插入了髓内钉。
耻骨联合绞锁是一种罕见的创伤，与髋臼骨折合并时更为复杂。两种情况可能同时发生，可通过手术治疗。
