■为了确定男性患者勃起功能障碍的发生率,这些患者患有髋臼骨折且先前未发现泌尿生殖道损伤。
■横断面调查。
■一级创伤中心。
■所有男性患者均接受髋臼骨折治疗,但没有泌尿生殖器损伤。
■国际勃起功能指数(IIEF),经过验证的患者报告的男性性功能结果指标,给予所有患者。
■患者被要求完成受伤前和当前性功能的国际勃起功能指数评分,勃起功能(EF)域用于量化勃起功能障碍的程度。根据OTA/AO分类模式对骨折进行分类,断裂分类,损伤严重程度评分,种族,和治疗细节,包括手术入路均从数据库中收集.
■92例髋臼骨折患者在受伤后最少12个月、平均43±21个月时接受了调查。平均年龄为53±15岁。39.8%的患者在受伤后出现中度至重度勃起功能障碍。平均EF域评分下降5.02±1.73分,大于4的最小临床重要差异。增加的损伤严重度评分和相关的骨折模式是EF评分降低的预测因素。
■髋臼骨折患者在中期随访时勃起功能障碍的发生率增加。治疗这些损伤的骨科创伤外科医生应该意识到这是一种潜在的相关损伤,询问他们的病人他们的功能,并做出适当的推荐。
■III.
UNASSIGNED: To determine the rate of erectile dysfunction in male patients who have sustained an acetabular fracture with no previously identified urogenital injury.
UNASSIGNED: Cross-sectional survey.
UNASSIGNED: Level 1 Trauma Center.
UNASSIGNED: All male patients treated for acetabular fracture without urogenital injury.
UNASSIGNED: The International Index of Erectile Function (IIEF), a validated patient-reported outcome measure for male sexual function, was administered to all patients.
UNASSIGNED: Patients were asked to complete the International Index of Erectile Function score for both preinjury and current sexual function, and the erectile function (EF) domain was used to quantify the degree of erectile dysfunction. Fractures were classified according the OTA/AO classification schema, fracture classification, injury severity score, race, and treatment details, including surgical approach were collected from the database.
UNASSIGNED: Ninety-two men with acetabular fractures without previously diagnosed urogenital injury responded to the survey at a minimum of 12 months and an average of 43 ± 21 months postinjury. The mean age was 53 ± 15 years. 39.8% of patients developed moderate-to-severe erectile dysfunction after injury. The mean EF domain score decreased 5.02 ± 1.73 points, which is greater than the minimum clinically important difference of 4. Increased injury severity score and associated fracture pattern were predictive of decreased EF score.
UNASSIGNED: Patients with acetabular fractures have an increased rate of erectile dysfunction at intermediate-term follow-up. The orthopaedic trauma surgeon treating these injuries should be aware of this as a potential associated injury, ask their patients about their function, and make appropriate referrals.
UNASSIGNED: III.