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Chin. j. traumatol ; Chin. j. traumatol;(6): 244-248, 2023.
Artigo em Inglês | WPRIM | ID: wpr-981915

RESUMO

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.


Assuntos
Humanos , Osso Púbico/lesões , Seguimentos , Osteotomia Sagital do Ramo Mandibular , Pelve , Uretra/cirurgia , Sínfise Pubiana/lesões
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