Naidu Dilip Kumar, S Aswin, R Madhan, N Gowthaman, Dhas Kevin
Orthopaedics, SRM Medical College Hospital and Research Centre, Chengalpattu, IND.
Orthopaedic Surgery, SRM Medical College Hospital and Research Centre, Chengalpattu, IND.
Cureus. 2024 Jan 25;16(1):e52958. doi: 10.7759/cureus.52958. eCollection 2024 Jan.
Pelvic fractures are the most common among patients sustaining high-energy trauma. They are associated with high morbidity and mortality rates, often because of high blood loss and injury to the lumbosacral plexus, genitourinary system, and gastrointestinal system. The age, complexity of the pelvic fracture, and pubic symphysis diastasis would represent risk factors for erectile dysfunction after major and neglected pelvic injuries; the neglected pelvic ring injuries could cause disabilities that manifest with symptoms like pain, lower limb length discrepancy, standing or sitting imbalance and even sexual dysfunction. Herein, we report a case of a young adult who sustained polytrauma and was diagnosed with neglected pubic symphysis diastasis, sacroiliac joint disruption, and erectile dysfunction. The patient regained erectile function after the surgical management of pubic symphysis diastasis and sacroiliac joint disruption.
骨盆骨折是高能创伤患者中最常见的骨折类型。它们与高发病率和死亡率相关，这通常是由于大量失血以及腰骶丛、泌尿生殖系统和胃肠道损伤所致。骨盆骨折的年龄、复杂性以及耻骨联合分离是严重和被忽视的骨盆损伤后勃起功能障碍的危险因素；被忽视的骨盆环损伤可导致残疾，表现为疼痛、下肢长度差异、站立或坐姿失衡甚至性功能障碍等症状。在此，我们报告一例年轻成年人的病例，该患者遭受多发伤，被诊断为耻骨联合分离、骶髂关节脱位和勃起功能障碍被忽视。耻骨联合分离和骶髂关节脱位经手术治疗后，患者恢复了勃起功能。
