J Korean Fract Soc.  2017 Jul;30(3):111-116. 10.12671/jkfs.2017.30.3.111.

Sexual Activity at 1 Year after Acetabular Fracture

Affiliations
  • 1Department of Orthopaedic Surgery, Yeungnam University Medical Center, Daegu, Korea.
  • 2Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea. ykleemd@gmail.com

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.

Keyword

Sexual activity; Acetabular fracture; Satisfaction

MeSH Terms

Acetabulum*
Female
Hip
Humans
Male
Orgasm
Patient Satisfaction
Sexual Behavior*

Reference

References

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.
Article
2. Marwick C. Survey says patients expect little physician help on sex. JAMA. 281:2173–2174. 1999.
Article
3. Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA. 281:537–544. 1999.
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.
Article
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.
Article
6. Borg T, Carlsson M, Larsson S. Questionnaire to assess treatment outcomes of acetabular fractures. J Orthop Surg (Hong Kong). 20:55–60. 2012.
Article
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.
Article
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.
Article
9. Currey HL. Osteoarthrosis of the hip joint and sexual activity. Ann Rheum Dis. 29:488–493. 1970.
Article
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):20284. 2015.
Article
11. Letournel E. Acetabulum fractures: classification and management. Clin Orthop Relat Res. 151:81–106. 1980.
Article
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.
Article
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.
Article
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.
Article
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.
Article
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.
Full Text Links
  • JKFS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr