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Treatment of Locked Pubic Symphysis by Distraction Osteotomy of the Superior Pubic Ramus: A Case Report.
JBJS Case Connect. 2020 Apr-Jun; 10(2):e0196.JC

Abstract

CASE

An 18-year-old adolescent sustained a lateral compression injury to the pelvis that featured a locked pubic symphysis with plastic deformation of the sacrum. The pubic bone was entrapped in the opposite obturator foramen and required a novel distraction osteotomy of the superior ramus to restore the symphysis. The patient developed a urethral stricture 3 months after injury that required urethroplasty. The symphysis remained in alignment without any morbidity at the osteotomy site over 13 months of follow-up.

CONCLUSION

Locked pubic symphysis is frequently associated with urethral injuries. The distraction osteotomy of the superior pubic ramus described is a viable reduction maneuver that neutralizes the plastic deformation forces.

Authors+Show Affiliations

1Department of Orthopaedics, Medical Trust Hospital, Cochin, Kerala, India 2Department of Urology, Medical Trust Hospital, Cochin, Kerala, India.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32649101

Citation

Pushpasekaran, Narendran, et al. "Treatment of Locked Pubic Symphysis By Distraction Osteotomy of the Superior Pubic Ramus: a Case Report." JBJS Case Connector, vol. 10, no. 2, 2020, pp. e0196.
Pushpasekaran N, Thampy S, Khaleel VM, et al. Treatment of Locked Pubic Symphysis by Distraction Osteotomy of the Superior Pubic Ramus: A Case Report. JBJS Case Connect. 2020;10(2):e0196.
Pushpasekaran, N., Thampy, S., Khaleel, V. M., & Joseph, S. (2020). Treatment of Locked Pubic Symphysis by Distraction Osteotomy of the Superior Pubic Ramus: A Case Report. JBJS Case Connector, 10(2), e0196. https://doi.org/10.2106/JBJS.CC.19.00196
Pushpasekaran N, et al. Treatment of Locked Pubic Symphysis By Distraction Osteotomy of the Superior Pubic Ramus: a Case Report. JBJS Case Connect. 2020 Apr-Jun;10(2):e0196. PubMed PMID: 32649101.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment of Locked Pubic Symphysis by Distraction Osteotomy of the Superior Pubic Ramus: A Case Report. AU - Pushpasekaran,Narendran, AU - Thampy,Sujith, AU - Khaleel,Veliyaveettil Muhamed, AU - Joseph,Sachin, PY - 2020/7/11/entrez PY - 2020/7/11/pubmed PY - 2020/7/11/medline SP - e0196 EP - e0196 JF - JBJS case connector JO - JBJS Case Connect VL - 10 IS - 2 N2 - CASE: An 18-year-old adolescent sustained a lateral compression injury to the pelvis that featured a locked pubic symphysis with plastic deformation of the sacrum. The pubic bone was entrapped in the opposite obturator foramen and required a novel distraction osteotomy of the superior ramus to restore the symphysis. The patient developed a urethral stricture 3 months after injury that required urethroplasty. The symphysis remained in alignment without any morbidity at the osteotomy site over 13 months of follow-up. CONCLUSION: Locked pubic symphysis is frequently associated with urethral injuries. The distraction osteotomy of the superior pubic ramus described is a viable reduction maneuver that neutralizes the plastic deformation forces. SN - 2160-3251 UR - https://www.unboundmedicine.com/medline/citation/32649101/Treatment_of_Locked_Pubic_Symphysis_by_Distraction_Osteotomy_of_the_Superior_Pubic_Ramus:_A_Case_Report L2 - https://doi.org/10.2106/JBJS.CC.19.00196 DB - PRIME DP - Unbound Medicine ER -
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