Sexual Activity at 1 Year after Acetabular Fracture

Chan Ho Park; Young-Kyun Lee; Kyung-Hoi Koo

doi:10.12671/jkfs.2017.30.3.111

Journal List > J Korean Fract Soc > v.30(3) > 1038093

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Park, Lee, and Koo: Sexual Activity at 1 Year after Acetabular Fracture

Original Article

J Korean Fract Soc 2017;30(3):111-115.

Published online: 10 January 2017

DOI: https://doi.org/10.12671/jkfs.2017.30.3.111

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.

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 24 November 2016 Revised 23 January 2017 Accepted 8 April 2017

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.

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.

Keywords: Sexual activity, Acetabular fracture, Satisfaction

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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)

^* Classification according to the Matta system.¹²⁾

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)

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.

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