The Results of Surgical Treatment of Patients with Various Types of Traumatic Injuries of the Coccyx.

Abstract

This article analyzes the results of surgical treatment of 48 patients with post-traumatic coccygodynia.  All these patients were operated on in the department of orthopedics of the Khorezm Regional Multidisciplinary Center №1. Of all the patients, 39 (81, 25%) were females, 9 were males (18.75%).  The patients underwent surgical treatment in the form of coccyx removal using the developed access and coccyx removal method.  To remove the coccyx, the skin incision, in contrast to the generally accepted one, was made 4-5 cm above the anus and moving away from the intergluteal line to the right by 1.5-2 cm i.e.  on the projection of the richly vascularized fascia thoracolumbalis.  After removing the coccyx in parts, i.e.  according to the type of "disassembling a coin column", the anally-coccygeal ligament, previously taken on the holders, was sutured to the sacrum, thus preventing the failure of the external sphincter of the rectum.  A good result was observed in 42 (87.5%), satisfactory in 5 (10, 4%), and unsatisfactory in 1 (2%) patient.