Arthroscopic Fixation of Os Acetabuli Technique: When to Resect and When to Fix

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2017 Feb 23

PMID 28224071

Citations 8

Authors

Cecilia Pascual-Garrido

John B Schrock

Justin J Mitchell

Gaston Camino Willhuber

Omer Mei-Dan

Jorge Chahla

Affiliations

Soon will be listed here.

Abstract

Acetabular rim fractures, or os acetabuli, are hypothesized to occur as a result of an unfused ossification center or a stress fracture from repetitive impingement of an abnormally shaped femoral neck against the acetabular rim. When treated surgically, these fragments are typically excised as part of the correction for femoroacetabular impingement. However, in some patients, removal of these fragments can create symptoms of gross instability or microinstability of the hip. In these cases, internal fixation of the fragment is necessary. The purpose of this technical note is to describe indications, the arthroscopic technique, and postoperative care for fixation of acetabular rim fractures.

Citing Articles

Current concepts in the diagnosis and management of Os Acetabuli.

Yoshitani J, Schoyer B, Shah A, Khanduja V Int Orthop. 2024; 48(3):657-666.

PMID: 38195946 PMC: 10901947. DOI: 10.1007/s00264-023-06078-0.

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

Yin Q, Liu W, Fu Y Arthrosc Tech. 2022; 11(8):e1493-e1498.

PMID: 36061461 PMC: 9437605. DOI: 10.1016/j.eats.2022.03.041.

Arthroscopic Technique for Reduction and Fixation of an Acetabular Rim Fracture.

Essilfie A, Lowe D, Youm T Arthrosc Tech. 2022; 11(1):e25-e30.

PMID: 35127425 PMC: 8807715. DOI: 10.1016/j.eats.2021.08.036.

Arthroscopic resection as a rapid recovery treatment for Os acetabuli in soccer players who had undergone hip arthroscopy: a case series with 1-year follow-up.

Salvador J, Seijas R, Ferre-Aniorte A, Laiz P, Barastegui D, Cugat R Arch Orthop Trauma Surg. 2021; 142(9):2295-2301.

PMID: 34704126 DOI: 10.1007/s00402-021-04229-9.

Arthroscopic Fixation of Os Acetabuli and Labral Repair: Suture-on-Screw Technique.

DeFroda S, Wichman D, Browning R, Alter T, Nho S Arthrosc Tech. 2021; 10(6):e1491-e1496.

PMID: 34258195 PMC: 8252835. DOI: 10.1016/j.eats.2021.02.015.

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