Hip Arthroscopic Management for Femoral Head Fractures and Posterior Acetabular Wall Fractures (Pipkin Type IV)

Park, Myung-Sik; Yoon, Sun Jung; Choi, Seung-Min

doi:10.1016/j.eats.2013.02.009

Cited by 23 publications

(19 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Because the hip is a constrained joint, hip dislocation most commonly occurs following a high‐energy injury. In the general population, hip dislocation is commonly associated with acetabular and femoral head fractures 4,14 . Hsu et al 5 .…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Treatment of Acetabular Rim Fracture after Traumatic Posterior Hip Dislocation: A Case Series Study

Zhong

Xie

et al. 2021

Orthopaedic Surgery

View full text Add to dashboard Cite

Objective: To investigate the clinical and radiographic short-term results of arthroscopic treatment for posterior labrum tears with an attached bony fragment after traumatic posterior hip dislocation.Methods: Between July 2014 and May 2019, a consecutive series of nine patients diagnosed with a posterior labrum tear with an attached bony fragment after traumatic posterior hip dislocation were treated by hip arthroscopic techniques. The patients had been injured in traffic accidents (n = 6) or high falls (n = 3). All patients were provided primary treatment at the emergency department of our institution, and then were transferred to our department for arthroscopy. Demographic data (e.g. gender, age, etc), intraoperative findings, the preoperative and postoperative multiple clinical scores and radiological results were subsequently assessed. Visual analogue scale for pain (VAS) and modified Harris hip scores (mHHSs) were measured and compared before surgery, and at the last follow-up.Results: A total of nine patients were enrolled, all of them were male, with a mean age at surgery of 32.2 AE 5.6 years (range, 22-65 years). The patients were followed-up for an average of 26.5 AE 4.1 (range, 24 to 50 years). During the arthroscopic surgery, all patients had labral tears with posterior acetabular rim fracture. All patients had loose osteochondral fragments. Five had partial or complete tears of ligamentum teres. Two patients had osteochondral damage. Two had capsular rupture. Postoperative X-ray films and three dimension computed tomography (3D-CT) showed satisfactory reduction of posterior acetabular wall fractures. The mHHS before surgery and at 1 year and 2 years after surgery were 51.8 AE 4.3, 81.8 AE 2.0 and 87.5 AE 1.9 respectively; VAS scores were 5.6 AE 0.5, 1.3 AE 0.3 and 0.7 AE 0.3 respectively. As compared with the condition before surgery, there was a significant improvement in the mHHS and VAS scores at 1 year and 2 years after surgery (P < 0.01). There was no significant improvement in the mHHS and VAS scores between 1 year and 2 years after surgery (P < 0.05). At the final follow-up, all patients had regained full range of motion (ROM) and were satisfied with the results. None of the patients showed signs of heterotopic ossification, avascular necrosis or progression of osteoarthritis of the hip joint. Conclusion:Traumatic dislocation is accompanied by a variety of intra-articular hip joint pathologies. Managing posterior acetabular rim fracture after traumatic posterior hip dislocation using arthroscopic reduction and fixation with anchors is a safe and minimally invasive option and delays the progression of traumatic osteoarthritis.

show abstract

Section: Discussionmentioning

confidence: 99%

Arthroscopic Treatment of Acetabular Rim Fracture after Traumatic Posterior Hip Dislocation: A Case Series Study

Zhong

Xie

et al. 2021

Orthopaedic Surgery

View full text Add to dashboard Cite

show abstract

“…In addition to the often-diagnosed fracture of the acetabulum, post-traumatic posterior hip dislocation is frequently accompanied by numerous intra-articular injuries: rupture of the articular capsule, damage to the labrum, rupture of LT, fractures in the femoral head area [ 1 , 2 ]. Each of these intra-articular structures plays significant role in stabilizing the hip joint.…”

Section: Discussionmentioning

confidence: 99%

Ligamentum teres reconstruction with labrum and capsule repair after posterior acetabular wall fracture: a case report

Mazek

Gnatowski²,

Salas³

et al. 2021

Journal of Hip Preservation Surgery

View full text Add to dashboard Cite

The aim of this case study is to present arthroscopic treatment of recurrent hip instability after acute post-traumatic posterior hip dislocation with a fracture of the posterior acetabular wall. A male patient aged 35 suffered a dislocation of the right hip joint with a fracture of the posterior acetabular wall due to an accident. The fracture was stabilized during emergency surgery with a locking compression plate, and the patient was released home in a hip brace. Multiple dislocations of the hip joint followed with the implant being confirmed as stable. Decision was made to qualify the patient for a right hip arthroscopy. During the surgery, ligamentum teres was reconstructed using gracilis and semitendinous muscle grafts, followed by the labrum and joint capsule repair, where the surgery that stabilized the acetabular wall fracture had damaged them. There were no complications following the procedure. Short-term follow-up of 3 months demonstrates the patient has a stable hip, reduced pain and has returned to pre-injury activities.

show abstract

“…Many investigators agree that hip arthroscopy is useful in treating the intra-articular lesions (namely, loose bodies, labral tears, chondral lesions) documented in radiological exams after traumatic hip dislocation in order to prevent further complications. 11 , 12 , 13 , 14 Some (Mullis and Dahners) go further to say that a routine hip arthroscopy should be done after traumatic hip dislocation, as intraoperative loose bodies can be found in patients in which standard radiographic studies found no loose bodies and a concentric reduction was obtained. 15 , 16 …”

Section: Discussionmentioning

confidence: 99%

Is It Safe to Perform an Early Arthroscopy After a Traumatic Hip Dislocation With an Associated Pelvic Ring Injury? Report of Our Technique

Geada

Dantas

Mascarenhas

et al. 2018

Arthroscopy Techniques

View full text Add to dashboard Cite

Hip arthroscopy is useful in the treatment of several intra-articular pathologies, however, its use in high-energy hip and pelvis injuries raises concerns about fluid extravasion and stability of the pelvic ring. We present our arthroscopic surgical technique (initial access to the peripheral compartment) to remove intra-articular loose bodies and treat associated lesions, as well as our concerns with the technique, in case of a traumatic hip dislocation associated with a contralateral pelvic ring injury.

show abstract

Hip Arthroscopic Management for Femoral Head Fractures and Posterior Acetabular Wall Fractures (Pipkin Type IV)

Cited by 23 publications

References 10 publications

Arthroscopic Treatment of Acetabular Rim Fracture after Traumatic Posterior Hip Dislocation: A Case Series Study

Arthroscopic Treatment of Acetabular Rim Fracture after Traumatic Posterior Hip Dislocation: A Case Series Study

Ligamentum teres reconstruction with labrum and capsule repair after posterior acetabular wall fracture: a case report

Is It Safe to Perform an Early Arthroscopy After a Traumatic Hip Dislocation With an Associated Pelvic Ring Injury? Report of Our Technique

Contact Info

Product

Resources

About