[SS-008]The impact of surgery for trochanteric femur fracture On sexuality in men and their female partnersMelih Balcı1, Deniz Çankaya2, Altuğ Tuncel1, Burak Yoldaş2, Serdar Yılmaz2, Ozer Güzel1, Çağdaş Şenel1, Yalçın Tabak22Ankara Numune Research and Training Hospital, Department of Orthopedy, Ankara, Turkey OBJECTIVE: This study was aimed to effects of trochanteric femur fracture treatment methods on erectile functions of the patient and on sexual functions with his female partner. METHODS: A total of 43 patients with trochanteric femur fracture who underwent proximal femoral nail (PFN) or proximal femur locking compression plate (PF-LCP) surgery included in the study. The PFN implant was applied to Group 1 (n=23) and the PFP-LC implant to Group 2 (n=20). All the patients and their female partners completed the 5-item version of the International Index of Erectile Function (IIEF-5) and the Female Sexual Function Index (FSFI) preoperatively and at 1 year postoperatively after the rehabilitation period. RESULTS: The mean ages of the male patients and their female partners were 48.2±3.6 years and 44±3.2 years respectively. At the time of presentation no difference was detected in age and body mass index between the groups (p>0.05). The mean preoperative IIEF-5 and FSFI score was 21.9±0.9 and 21.9±1.1, 72.3±9.7 and 70.5±6.2 for the PFN and PF-LCP treatment groups respectively, and at postoperative 6 months after rehabilitation, change in IIEF-5 score and FSFI score of each group was -6.5±2.1 vs -3.8±1.6, (p<0.001) and -16±10.7 vs -6.3±4, (p=0.001), respectively. CONCLUSIONS: These data show that trochanteric femur fractures treated with PFN or PF-LCP had a negative impact on erectile function. PF-LCP had a greater negative effect than PFN on erectile function. |