Sexual dysfunction after acetabular fractures: relationship with hip function and posttraumatic arthrosis
Bratislava Medical Journal, cilt.127, sa.10, ss.4630-4638, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 127 Sayı: 10
- Basım Tarihi: 2026
- Doi Numarası: 10.1007/s44411-026-00806-9
- Dergi Adı: Bratislava Medical Journal
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Ultimate (EBSCO)
- Sayfa Sayıları: ss.4630-4638
- Anahtar Kelimeler: Acetabular fracture, Sexual dysfunction, Harris Hip Score, Post-traumatic osteoarthritis
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: Sexual dysfunction is a potentially underrecognized complication following acetabular fractures. Although pelvic trauma has been associated with impaired sexual function, the relationship between acetabular fractures, hip functional outcomes, and sexual function remains insufficiently investigated. This study aimed to evaluate sexual function in patients with acetabular fractures and to determine the clinical factors associated with postoperative sexual dysfunction. Methods: A total of 81 patients with acetabular fractures were included in this study. Sexual function was assessed using the Female Sexual Function Index (FSFI) in female patients and the International Index of Erectile Function (IIEF) in male patients. Hip function was evaluated using the Harris Hip Score (HHS), pain levels were assessed using the Visual Analog Scale (VAS), and post-traumatic osteoarthritis was graded according to the Kellgren–Lawrence classification. Correlation analyses and multivariate linear regression analyses were performed to identify factors associated with sexual function scores. Results: The mean follow-up duration was 39.8 ± 13.6 months (12–90). Significant positive correlations were observed between sexual function scores and the Harris Hip Score in both female and male patients. In contrast, osteoarthritis grade demonstrated a significant negative association with FSFI and IIEF scores. Multivariate regression analysis revealed that osteoarthritis grade was an independently associated factor with FSFI scores in female patients, whereas both osteoarthritis grade and Harris Hip Score were independently associated factors with IIEF scores in male patients. Treatment type and surgical approach were not identified as independently associated factors with postoperative sexual function. Conclusion: Post-traumatic osteoarthritis and impaired hip function appear to be the primary factors associated with sexual dysfunction following acetabular fractures. These findings highlight the importance of preserving hip joint function and preventing degenerative changes in order to improve long-term sexual health and overall quality of life in these patients.