E-submission
KFS
Articles
- Page Path
- HOME > J Musculoskelet Trauma > Volume 30(3); 2017 > Article
-
Original Article
- Sexual Activity at 1 Year after Acetabular Fracture
- Chan Ho Park, M.D., Young-Kyun Lee, M.D., Ph.D., Kyung-Hoi Koo, M.D., Ph.D.
-
Journal of the Korean Fracture Society 2017;30(3):111-115.
DOI: https://doi.org/10.12671/jkfs.2017.30.3.111
Published online: January 10, 2017
Department of Orthopaedic Surgery, Yeungnam University Medical Center, Daegu, Department of Orthopaedic Surgery, Seoul National University Bundang Hospital*, Seongnam, Korea
- Correspondence to: Young-Kyun Lee, M.D., Ph.D. Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, 82 Gumi-ro 173beon-gil, Bundang-gu, Seongnam 13620, Korea Tel: +82-31-787-7204 Fax: +82-31-787-4056 E-mail: ykleemd@gmail.com
• Received: November 24, 2016 • Revised: January 23, 2017 • Accepted: April 8, 2017
Copyright © 2017 The Korean Fracture Society
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
- 35 Views
- 0 Download
- 2 Crossref
Abstract
-
Purpose
- Change in sexual activity after acetabular fracture has not been elucidated to date. Hence, the purpose of this study was to reveal: (1) how acetabular fracture affects the status of sexual activity; (2) how acetabular fracture affects patient satisfaction about sexual activity; and (3) what are the concerns of patients regarding sexual activity.
-
Materials and Methods
- Between January 2014 and December 2014, a self-reported questionnaire was conducted with patients who had been sexually active before the treatment for acetabular fracture. Out of the nineteen patients who participated in the questionnaire, twelve men and three women were included for final analysis; patients who were treated conservatively were excluded.
-
Results
- All patients had hip pain (mean visual analogue scale score, 2.9; range, 1–7) at 1 year after the trauma. Fourteen patients (93.3%, 14/15) resumed sexual activity within 1 year (mean, 3.9 months; range, 2–6 months). After excluding one patient who did not recover to allow sexual activity, the frequency of sex was decreased in 11 patients (78.6%, 11/14). Sexual satisfaction was decreased in seven patients (46.7%, 7/15). Old age was associated with decreased sexual satisfaction.
-
Conclusion
- Half of the patients showed a decreased satisfaction from sexual activity after acetabular fracture, with hip pain being the most common problem. Although our study was a small, single-center study, it provides information regarding sexual activity of patients after acetabular fracture.
Table 1.Type of Acetabular Fr racture and the Qual lity of Reduction
| Type of fracture | No. of patient (%) | Reduction quality (n)* |
|---|---|---|
| Elementary fractures | ||
| Posterior wall fracture | 6 (40.0) | Exellent (1) |
| Good (3) | ||
| Fair (2) | ||
| Transverse fracture | 2 (13.3) | Good (1) |
| Fair (1) | ||
| Associated fractures | ||
| Both column fracture | 4 (26.7) | Good (1) |
| Fair (3) | ||
| Anterior column and | 2 (13.3) | Excellent (1) |
| posterior hemitransverse fracture | Fair (1) | |
| T-shaped fracture | 1 (6.7) | Good (1) |
Table 2.Comparison of Sexual Satisfaction
| Variable | Increased/no change group (n=8) | Decreased/greatly decreased group (n=7) | p-value |
|---|---|---|---|
| Age (yr)* | 36.4±8.0 | 49.8±14.0 | 0.038 |
| Gender | 0.569 | ||
| Men | 7 (46.7) | 5 (33.3) | |
| Women | 1 (6.7) | 2 (13.3) | |
| BMI (kg/m2)* | 23.1±3.5 | 23.9±3.1 | 0.639 |
| Current VAS for pain* | 2.0±0.9 | 3.9±2.1 | 0.051 |
| Types of fracture | 0.619 | ||
| Elementary fractures | 5 (33.3) | 3 (20.0) | |
| Associated fractures | 3 (20.0) | 4 (26.7) | |
| Quality of reduction† | 0.619 | ||
| Excellent/good | 5 (33.3) | 3 (20.0) | |
| Fair/poor | 3 (20.0) | 4 (26.7) | |
| ASA score | 0.315 | ||
| 1 | 6 (40.0) | 3 (20.0) | |
| 2 | 2 (13.3) | 4 (26.7) | |
| Approach | 0.947 | ||
| Kocher-Langenbeck | 4 (26.7) | 4 (26.7) | |
| Ilioinguinal | 3 (20.0) | 2 (13.3) | |
| Combined | 1 (6.7) | 1 (6.7) |
- 1. Stock SR, Cole DC, Tugwell P, Streiner D. Review of applicability of existing functional status measures to the study of workers with musculoskeletal disorders of the neck and upper limb. Am J Ind Med, 29:679-688. 1996.ArticlePubMed
- 2. Marwick C. Survey says patients expect little physician help on sex. JAMA, 281:2173-2174. 1999.ArticlePubMed
- 3. Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA, 281:537-544. 1999.PubMed
- 4. Odutola AA, Sabri O, Halliday R, Chesser TJ, Ward AJ. High rates of sexual and urinary dysfunction after surgically treated displaced pelvic ring injuries. Clin Orthop Relat Res, 470:2173-2184. 2012.ArticlePubMedPMC
- 5. Copuroglu C, Yilmaz B, Yilmaz S, Ozcan M, Ciftdemir M, Copuroglu E. Sexual dysfunction of male, after pelvic fracture. Eur J Trauma Emerg Surg, 43:59-63. 2017.ArticlePubMedPDF
- 6. Borg T, Carlsson M, Larsson S. Questionnaire to assess treatment outcomes of acetabular fractures. J Orthop Surg (Hong Kong), 20:55-60. 2012.ArticlePubMedPDF
- 7. Borrelli J Jr, Goldfarb C, Ricci W, Wagner JM, Engsberg JR. Functional outcome after isolated acetabular fractures. J Orthop Trauma, 16:73-81. 2002.PubMed
- 8. Yoon BH, Lee KH, Noh S, Ha YC, Lee YK, Koo KH. Sexual activity after total hip replacement in Korean patients: how they do, what they want, and how to improve. Clin Orthop Surg, 5:269-277. 2013.ArticlePubMedPMC
- 9. Currey HL. Osteoarthrosis of the hip joint and sexual activity. Ann Rheum Dis, 29:488-493. 1970.ArticlePubMedPMC
- 10. Kaida A, Carter A, de Pokomandy A, et al. Sexual inactivity and sexual satisfaction among women living with HIV in Canada in the context of growing social, legal and public health surveillance. J Int AIDS Soc, 18(Suppl 5):202842015.ArticlePubMedPMCPDF
- 11. Letournel E. Acetabulum fractures: classification and management. Clin Orthop Relat Res, 151:81-106. 1980.
- 12. Matta JM. Operative treatment of acetabular fractures through the ilioinguinal approach. A 10-year perspective. Clin Orthop Relat Res, 305:10-19. 1994.Article
- 13. Harvey-Kelly KF, Kanakaris NK, Obakponovwe O, West RM, Giannoudis PV. Quality of life and sexual function after traumatic pelvic fracture. J Orthop Trauma, 28:28-35. 2014.Article
- 14. Ramirez JI, Velmahos GC, Best CR, Chan LS, Demetriades D. Male sexual function after bilateral internal iliac artery embolization for pelvic fracture. J Trauma, 56:734-739. discussion 739–741,. 2004.Article
- 15. Charbonnier C, Chagué S, Ponzoni M, Bernardoni M, Hoffmeyer P, Christofilopoulos P. Sexual activity after total hip arthroplasty: a motion capture study. J Arthroplasty, 29:640-647. 2014.
- 16. Tannast M, Najibi S, Matta JM. Two to twenty-year survivorship of the hip in 810 patients with operatively treated acetabular fractures. J Bone Joint Surg Am, 94:1559-1567. 2012.Article
- 17. Meyer H, Stern R, Fusetti C, Salsano F, Campana A, Hoffmeyer P. Sexual quality-of-life after hip surgery. J Orthop Traumatol, 4:21-25. 2003.
- 18. Moreira ED Jr, Brock G, Glasser DB, et al. Help-seeking behaviour for sexual problems: the global study of sexual attitudes and behaviors. Int J Clin Pract, 59:6-16. 2005.
- 19. Moshirfar A, Campbell JT, Khasraghi FA, Wenz JF Sr. Evaluating the quality of Internet-derived information on plantar fasciitis. Clin Orthop Relat Res, 421:60-63. 2004.
- 20. Beredjiklian PK, Bozentka DJ, Steinberg DR, Bernstein J. Evaluating the source and content of orthopaedic information on the internet. The case of carpal tunnel syndrome. J Bone Joint Surg Am, 82:1540-1543. 2000.
- 21. Bell DS, Fonarow GC, Hays RD, Mangione CM. Self-study from web-based and printed guideline materials. A randomized, controlled trial among resident physicians. Ann Intern Med, 132:938-946. 2000.
REFERENCES
Figure & Data
REFERENCES
Citations
Citations to this article as recorded by 
- Sexual and Urinary Dysfunction Following Isolated Acetabulum Fractures: A Systematic Review of the Literature
Sophia M. Wakefield, Nikolaos K. Kanakaris, Peter V. Giannoudis
Journal of Clinical Medicine.2025; 14(1): 230. CrossRef - The Impact of Surgical Approaches for Isolated Acetabulum Fracture on Sexual Functions: A Prospective Study
Ibrahim Alper Yavuz, Can Aykanat, Cagdas Senel, Fatih Inci, Erman Ceyhan, Yılmaz Aslan, Altug Tuncel, Ahmet Ozgur Yildirim
Journal of Orthopaedic Trauma.2022; 36(3): 124. CrossRef
Cite
XML DownloadSexual Activity at 1 Year after Acetabular Fracture
Sexual Activity at 1 Year after Acetabular Fracture
Type of Acetabular Fr racture and the Qual lity of Reduction
| Type of fracture | No. of patient (%) | Reduction quality (n) |
|---|---|---|
| Elementary fractures | ||
| Posterior wall fracture | 6 (40.0) | Exellent (1) |
| Good (3) | ||
| Fair (2) | ||
| Transverse fracture | 2 (13.3) | Good (1) |
| Fair (1) | ||
| Associated fractures | ||
| Both column fracture | 4 (26.7) | Good (1) |
| Fair (3) | ||
| Anterior column and | 2 (13.3) | Excellent (1) |
| posterior hemitransverse fracture | Fair (1) | |
| T-shaped fracture | 1 (6.7) | Good (1) |
*Classification according to the Matta system.12)
Comparison of Sexual Satisfaction
| Variable | Increased/no change group (n=8) | Decreased/greatly decreased group (n=7) | p-value |
|---|---|---|---|
| Age (yr) |
36.4±8.0 | 49.8±14.0 | 0.038 |
| Gender | 0.569 | ||
| Men | 7 (46.7) | 5 (33.3) | |
| Women | 1 (6.7) | 2 (13.3) | |
| BMI (kg/m2) |
23.1±3.5 | 23.9±3.1 | 0.639 |
| Current VAS for pain |
2.0±0.9 | 3.9±2.1 | 0.051 |
| Types of fracture | 0.619 | ||
| Elementary fractures | 5 (33.3) | 3 (20.0) | |
| Associated fractures | 3 (20.0) | 4 (26.7) | |
| Quality of reduction |
0.619 | ||
| Excellent/good | 5 (33.3) | 3 (20.0) | |
| Fair/poor | 3 (20.0) | 4 (26.7) | |
| ASA score | 0.315 | ||
| 1 | 6 (40.0) | 3 (20.0) | |
| 2 | 2 (13.3) | 4 (26.7) | |
| Approach | 0.947 | ||
| Kocher-Langenbeck | 4 (26.7) | 4 (26.7) | |
| Ilioinguinal | 3 (20.0) | 2 (13.3) | |
| Combined | 1 (6.7) | 1 (6.7) |
Values are presented as mean±standard deviation or number (%).
*Continuous variable.
†Classification according to the Matta system.12) BMI: body mass index, VAS: visual analogue scale, ASA: American Society of Anesthesiologists.
Table 1. Type of Acetabular Fr racture and the Qual lity of Reduction
Classification according to the Matta system.12)
Table 2. Comparison of Sexual Satisfaction
Values are presented as mean±standard deviation or number (%). Continuous variable. Classification according to the Matta system.12) BMI: body mass index, VAS: visual analogue scale, ASA: American Society of Anesthesiologists.
