Arthroscopic Reduction and Transportal Screw Fixation of Acetabular Posterior Wall Fracture: Technical Note

Park, Jin young; Chung, Woo Chull; Kim, Che Keun; Huh, Soon; Kim, Se Jin; Jung, Bo Hyun

doi:10.5371/hp.2016.28.2.120

Cited by 10 publications

(11 citation statements)

References 10 publications

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“…Traditional surgical treatment requires extensive exposure, which may be complicated by infection, blood loss, wound healing problems, abductor weakness, sciatic nerve palsy, and heterotopic ossification 12) . Periacetabular screws are commonly used and technically demanding, so that joint perforations are described in 0.9% to 7% of cases and can be a severe complication that causes rapid joint wear resulting in hip arthritis 12 13) . Although the use of hip arthroscopy provides advantages in treatment of acetabular fractures, a 1.5% incidence of complication has been reported 14) .…”

Section: Discussionmentioning

confidence: 99%

“…Park et al 12) described two cases of fractures of the posterior wall of the acetabulum in young patients, one with an isolated fracture and the other with a concomitant femur fracture. In both cases an anatomical reduction of the fracture was performed via arthroscopy and fixation with two cannulated screws; excellent results were obtained in both cases three months after surgery.…”

Section: Discussionmentioning

confidence: 99%

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Surgical Treatment of Acetabular Posterior Wall Fracture with Hip Arthroscopy: A Case Report

et al. 2022

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Posterior wall fractures are the most common type of acetabular fractures. Treatment can be conservative or surgical. Operative treatment is indicated for acetabular fractures that result in hip joint instability and/or incongruity, as well injuries with incarceration of fragments of bone or soft tissue within the hip joint. Surgical treatment can range from open reduction and osteosynthesis to hip arthroplasty. Arthroscopy has recently been used as the main surgical technique or as a reduction aid. In this case a 26-year-old male with a fracture of the posterior wall who underwent a posterior miniinvasive approach, followed by hip arthroscopy. This allowed joint wash, removal of the loose body, confirmation of reduction and absence of intra-articular hardware. Excellent clinical and radiological results were obtained. This case demonstrates the advantage of using hip arthroscopy in assessment of fracture reduction, the absence of intra-articular hardware or fragments, as well as a less invasive approach.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Acetabular Posterior Wall Fracture with Hip Arthroscopy: A Case Report

et al. 2022

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“…reported two patients in 2014, one posterior acetabular wall fracture and one acetabular anterior column fracture, fixed by percutaneously 4.0‐mm‐diameter and 3.5‐mm‐diameter cannulated screws under direct arthroscopic visualization 7 . In addition, Park et al 9 . reported two and Gürpınar et al 10 .…”

Section: Discussionmentioning

confidence: 99%

Hip Arthroscopic Reduction and Fixation for Adolescent Acetabular Posterior Wall Fracture: A Case Report

Shi¹,

Yuan²,

Tan³

et al. 2021

Orthopaedic Surgery

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Background Posterior wall fracture is the most common type of acetabular fracture, the traditional open reduction and fixation through the Kocher–Langenbeck approach required a large incision and extensive muscle and soft tissue dissection, resulting in more blood loss, more complications and delayed recovery after the operation. Hip arthroscopy has been widely used in clinical practice but rarely reported in acetabular fractures. Case Presentation We present the case of a 14‐year‐old boy with acetabular posterior wall fracture who was treated with hip arthroscopy reduction and fixation using anchors. He began to walk with partial weight‐bearing assisted by double crutches, and returned to school with crutches at 3 days after surgery. Although hip arthroscopy is technically more demanding, it’s an optimal choice for selected patients of acetabular fracture with the advantages of less invasive and faster postoperative recovery.

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“…Hip arthroscopy has evolved dramatically since the 1990s 3) , including advances in surgical techniques, instrumentation, better defined applications, and positive surgical outcomes have been continuously reported 4 5 6 7) . Based on these technical advancements of hip arthroscopy, we believed that it may be applied to the removal of a screw perforating into the joint space-one potentially serious complications of open reduction of an acetabular fracture.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Management of Intraarticular Screw Perforation after Surgical Treatment of an Acetabular Posterior Wall Fracture: A Case Report

2018

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Although surgical techniques for treating acetabular fracture are evolving, the use of periacetabular screws is common, and their placement in acetabular surgery is still technically demanding. For instance, intraarticular screw perforation is a serious complication that may occur during surgical treatment of an acetabular fracture. Here, we describe the case of a 50-year-old female who experienced an intraarticular screw perforation after surgical treatment of a posterior acetabular wall fracture. Removal of the perforated screw was performed arthroscopically based on its ability to offer minimally invasive access to the hip joint. One year after removal of the screw, no radiological signs of osteoarthritic changes were observed. The patient regained normal ambulation without limitations to range of motion or hip pain. To our knowledge, this is the first report on the use of arthroscopy to treat intraarticular screw perforation after surgical treatment of an acetabular fracture.

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Arthroscopic Reduction and Transportal Screw Fixation of Acetabular Posterior Wall Fracture: Technical Note

Cited by 10 publications

References 10 publications

Surgical Treatment of Acetabular Posterior Wall Fracture with Hip Arthroscopy: A Case Report

Surgical Treatment of Acetabular Posterior Wall Fracture with Hip Arthroscopy: A Case Report

Hip Arthroscopic Reduction and Fixation for Adolescent Acetabular Posterior Wall Fracture: A Case Report

Arthroscopic Management of Intraarticular Screw Perforation after Surgical Treatment of an Acetabular Posterior Wall Fracture: A Case Report

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