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股骨髓内固定术中使用牵引床后出现同侧足下垂和勃起功能障碍：一例病例报告及文献复习

Ipsilateral Foot Drop and Erectile Dysfunction After the Use of a Traction Table in Intramedullary Femur Fixation: A Case Report and Review of the Literature.

作者信息

Almaghrabi Yazan T, Nooh Mohammad H, Qadi Sara G

机构信息

Orthopedic Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, SAU.

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU.

出版信息

Cureus. 2024 May 29;16(5):e61316. doi: 10.7759/cureus.61316. eCollection 2024 May.

DOI:10.7759/cureus.61316
PMID:38947702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11213273/
Abstract

This report presents a case of ipsilateral foot drop and erectile dysfunction following the use of a traction table during intramedullary femur fixation. The patient, a 39-year-old male, underwent surgery for a femur fracture using an intramedullary nail and was positioned on a traction table during the procedure. Post-operatively, he developed foot drop and erectile dysfunction. Neurological examination revealed peroneal nerve injury as the likely cause of the foot drop. The erectile dysfunction was attributed to pudendal nerve injury. Various treatment options were considered, including physical therapy for foot drop and phosphodiesterase inhibitors for erectile dysfunction. In conclusion, this case underscores the importance of recognizing and addressing potential complications associated with traction table use in orthopedic procedures, particularly concerning neurological sequelae and sexual dysfunction.

摘要

本报告介绍了一例在股骨髓内固定术中使用牵引台后出现同侧足下垂和勃起功能障碍的病例。患者为一名39岁男性，因股骨骨折接受了髓内钉手术，手术过程中被安置在牵引台上。术后，他出现了足下垂和勃起功能障碍。神经学检查显示，腓总神经损伤可能是足下垂的原因。勃起功能障碍归因于阴部神经损伤。考虑了各种治疗方案，包括针对足下垂的物理治疗和针对勃起功能障碍的磷酸二酯酶抑制剂。总之，本病例强调了认识和处理骨科手术中使用牵引台相关潜在并发症的重要性，特别是关于神经后遗症和性功能障碍。

相似文献

1
Ipsilateral Foot Drop and Erectile Dysfunction After the Use of a Traction Table in Intramedullary Femur Fixation: A Case Report and Review of the Literature.股骨髓内固定术中使用牵引床后出现同侧足下垂和勃起功能障碍：一例病例报告及文献复习
Cureus. 2024 May 29;16(5):e61316. doi: 10.7759/cureus.61316. eCollection 2024 May.
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本文引用的文献

1
Ipsilateral Foot Drop After Leg Traction on Fracture Table for Mid-Shaft Femur Fracture Nailing: A Rare Case Report.股骨干中段骨折髓内钉固定术骨折牵引台上牵引后同侧足下垂：一例罕见病例报告
Cureus. 2023 Aug 20;15(8):e43826. doi: 10.7759/cureus.43826. eCollection 2023 Aug.
2
Are complications related to the perineal post on orthopaedic traction tables for surgical fracture fixation more common than we think? A systematic review.用于手术骨折固定的骨科牵引床上会阴柱相关并发症是否比我们想象的更常见？一项系统评价。
Patient Saf Surg. 2023 Mar 22;17(1):5. doi: 10.1186/s13037-023-00355-y.
3
Traction table-related complications in orthopaedic surgery.
骨科手术中牵引台相关并发症。
J Am Acad Orthop Surg. 2010 Nov;18(11):668-75. doi: 10.5435/00124635-201011000-00004.
4
National data of 6409 Swedish inpatients with femoral shaft fractures: stable incidence between 1998 and 2004.6409 例瑞典股骨骨干骨折住院患者的全国数据：1998 年至 2004 年期间发病率稳定。
Injury. 2009 Mar;40(3):304-8. doi: 10.1016/j.injury.2008.07.017. Epub 2009 Jan 25.
5
Erectile dysfunction after perineal compression in young men undergoing internal fixation of femur fractures.
Int J Impot Res. 2007 May-Jun;19(3):336-8. doi: 10.1038/sj.ijir.3901529. Epub 2006 Nov 30.
6
Massive perineal wound slough after treatment of complex pelvic and acetabular fractures using a traction table.
J Orthop Trauma. 2002 Sep;16(8):601-5. doi: 10.1097/00005131-200209000-00011.
7
[Erectile dysfunction caused by neurapraxia of the pudendal nerve after the use of a traction table for the treatment of traumatic fractures. Report of a case and review of the literature].
Arch Esp Urol. 1998 Apr;51(3):298-300.
8
Perineal trauma and vasculogenic impotence.
J Urol. 1982 Jan;127(1):57. doi: 10.1016/s0022-5347(17)53601-0.
9
Closed nailing of a femoral fracture followed by sciatic nerve palsy.
J Bone Joint Surg Br. 1990 Mar;72(2):318. doi: 10.1302/0301-620X.72B2.2312578.