Arthroscopic Suture Fixation of Os Acetabuli With Absorbable Suture Anchors—A Double-Pulley Technique

Yin, Qingfeng; Liu, Wenguang; Fu, Ying-Qiang

doi:10.1016/j.eats.2022.03.041

Cited by 2 publications

(2 citation statements)

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“…Yin et al . introduced an all-arthroscopic method for repairing os acetabuli using absorbable anchors that penetrate the bone fragment and sutures that are tied in a double-pulley fashion [ 32 ]. The technique involved inserting two absorbable anchors to penetrate the bone fragments and secure them to the acetabular bone bed.…”

Section: Resultsmentioning

confidence: 99%

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Current concepts in the diagnosis and management of Os Acetabuli

Yoshitani,

Schoyer,

Shah

et al. 2024

International Orthopaedics (SICOT)

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Purpose The aim of this review is to appraise the current evidence on the epidemiology, pathophysiology, diagnosis and management of os acetabuli. Methods A scoping review was conducted according to the Joanna Briggs Institute guidelines. A systematic search was performed on Medline (PubMed), Embase and Cochrane Library. Inclusion criteria comprised observational and interventional studies and review articles published in the English language that focused on patients with os acetabuli according to the PRISMA extension of scoping reviews checklist using the terms ‘Os Acetabuli’ or ‘os acetabula’ or ‘acetabular ossicles’. A narrative synthesis of results was undertaken, and the included articles were divided into (i) definition, (ii) aetiology, (iii) diagnosis and imaging and (iv) management of os acetabuli. Results 107 articles were screened, with 22 meeting the eligibility criteria. A total of 8836 patients were considered, of which 604 had os acetabuli. The mean age was 32.8 years. The prevalence of os acetabuli ranged from 3.4 to 7.7%, with a higher prevalence in males compared to females. True os acetabuli was defined as an unfused secondary ossification centre along the acetabular rim. The aetiology of os acetabuli is thought to be secondary to acetabular dysplasia and/or femoroacetabular impingement. Standard of care for management of symptomatic os acetabuli is considered to be arthroscopic excision unless the excision results in acetabular undercoverage and/or instability, in which case, fixation is recommended. Conclusions Successful management of os acetabuli depends on understanding the pathology and treating the underlying cause rather than treating the os acetabuli in isolation. Future work needs to focus on establishing clear diagnostic criteria, consensus on definition and an evidence-based treatment algorithm.

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Section: Resultsmentioning

confidence: 99%

“…The free limbs of the suture were tied down using a standard sliding knot to compress the bone fragments, employing a double-pulley technique. Another suture from the anchors was utilised to repair the labrum [ 32 ].…”

Section: Resultsmentioning

confidence: 99%