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Table 6 Postoperative Clinical and Patient Reported Outcomes

From: Are complications related to the perineal post on orthopaedic traction tables for surgical fracture fixation more common than we think? A systematic review

First Author (Year)

Study Participants, n

Pudendal Nerve Palsy Rate, %

Duration of Pudendal Nerve Palsy

Complication Reported

International Index of Erectile Function

Aprato et al. (2021)

95

15/95 (16%)

Mean = 10 days, SD not reported

Failure of fixation = 1patient; ED = 2 patients

Brumback et al. (1992)

106

10/106 (9%)

Mean = 4 weeks (Range 1–11weeks) for 9/10 patients; Continued symptoms of altered sensation in penis and scrotum at 6 month follow-up for 1 patient

Unilateral sensory disturbance of labia, scrotum or penis = 10patients; ED = 1patient

Coelho et al. (2008)

6

0/6 (0%)

Cutaneous perineal necrosis involving the scrotal base = 6patients

Hofmann et al. (1982)

4

4/4(100%)

Mean = 250days ± 204days

Sensory disturbance of shaft and bulb of penis = 2 patients; sensory disturbance of right side of scrotum and anus = 1patient; sensory disturbance of right side of penis and right side of scrotum = 1 patient; ED = 4 patients

 

Kao et al. (1993)

63

10/63 (16%)

Mean = 33.8days ± 55.0days

Unilateral sensory disturbance of labia, scrotum or penis = 10patients; peroneal palsy = 1patient; ED = 3patients; prolonged drainage = 1patient

Mallet et al. (2005)

37

15/37 (41%)

ED = 15patients

Erectile function (Score range: 1–30) = 23.1 ± 6.7

Orgasmic function(Score range: 0–10) = 7.9 ± 2.7

Sexual desire(Score range: 2–10) = 7.6 ± 1.4

Intercourse satisfaction(Score range: 0–15) = 10.3 ± 3.1

Overall satisfaction(Score range: 2–10) = 7.1 ± 2.6

Parulekar et al. (2021)

3

0/3 (0%)

Bilateral vulvar necrosis = 2patients; Unilateral vulvar necrosis = 1patient

Peterson et al. (1985)

4

3/4 (75%)

Mean = 84.67days ± 120.82days

Testicular swelling and scrotal edema = 2patients; cutaneous perineal necrosis = 2patients; ED = 2patients; Urinary retention = 1patient

Rajbabu et al. (2007)

4

4/4 (100%)

Mean = 639days ± 183 days

ED = 4patients

Rose et al. (2007)

29

8/29 (27.6%)

Mean = 28days ± 61.4days

Purely sensory disturbance of perineum = 4 patients; ED and sensory loss = 4patients

Descriptive Statistics

Total = 351

Mean Range = 0–100%

Mean Range = 10days–639days

Failure of fixation = 1 (0.2%)

ED = 35 (10.0%)

Unilateral sensory disturbance of labia, scrotum, or penis = 22 (6.0%)

Peroneal palsy = 1 (0.2%)

Prolonged drainage = 1 (0.2%)

Cutaneous Perineal necrosis = 11 (3%)

Testicular swelling and scrotal edema = 2 (0.4%)

Urinary retention = 1 (0.2%)

 
  1. “–“ denotes articles that did not report the variable; “ED” denotes erectile dysfunction