Surgical Technique: Arthroscopic Reduction and Fixation of Partial Posterior Wall Acetabular Fractures

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2024 May 1

PMID 38690352

Authors

Alessandro Aprato

Ruben Caruso

Michele Reboli

Matteo Giachino

Alessandro Masse

Affiliations

Soon will be listed here.

Abstract

Partial posterior wall fractures are usually fixed with open reduction-internal fixation through an open posterolateral approach, but when the fragment may be fixed without a plate (with screws only), reduction and fixation may also be achieved via hip arthroscopy with the patient in the prone position. This article presents all the surgical steps to perform this procedure.

References

Ono A, Nishikawa S, Nagao A, Irie T, Sasaki M, Kouno T . Arthroscopically assisted treatment of ankle fractures: arthroscopic findings and surgical outcomes. Arthroscopy. 2004; 20(6):627-31. DOI: 10.1016/j.arthro.2004.04.070. View

Aprato A, Buzzone M, Di Benedetto P, Masse A . Surgical hip dislocation vs arthroscopy for fixation of subfoveal femoral head fractures: A new technique for Pipkin type 1 fractures. Acta Biomed. 2021; 92(S3):e2021016. PMC: 8420819. DOI: 10.23750/abm.v92iS3.11724. View

Magu N, Rohilla R, Arora S . Conservatively treated acetabular fractures: A retrospective analysis. Indian J Orthop. 2012; 46(1):36-45. PMC: 3270603. DOI: 10.4103/0019-5413.91633. View

Chan Y, Chiu C, Lo Y, Chen A, Hsu K, Wang C . Arthroscopy-assisted surgery for tibial plateau fractures: 2- to 10-year follow-up results. Arthroscopy. 2008; 24(7):760-8. DOI: 10.1016/j.arthro.2008.02.017. View

Foulk D, Mullis B . Hip dislocation: evaluation and management. J Am Acad Orthop Surg. 2010; 18(4):199-209. DOI: 10.5435/00124635-201004000-00003. View

Park M, Yoon S, Choi S . Hip Arthroscopic Management for Femoral Head Fractures and Posterior Acetabular Wall Fractures (Pipkin Type IV). Arthrosc Tech. 2013; 2(3):e221-5. PMC: 3834644. DOI: 10.1016/j.eats.2013.02.009. View

Mandell J, Marshall R, Banffy M, Khurana B, Weaver M . Arthroscopy After Traumatic Hip Dislocation: A Systematic Review of Intra-articular Findings, Correlation With Magnetic Resonance Imaging and Computed Tomography, Treatments, and Outcomes. Arthroscopy. 2017; 34(3):917-927. DOI: 10.1016/j.arthro.2017.08.295. View

Baumgaertner M . Fractures of the posterior wall of the acetabulum. J Am Acad Orthop Surg. 1999; 7(1):54-65. DOI: 10.5435/00124635-199901000-00006. View

Khanna V, Harris A, Farrokhyar F, Choudur H, Wong I . Hip arthroscopy: prevalence of intra-articular pathologic findings after traumatic injury of the hip. Arthroscopy. 2014; 30(3):299-304. DOI: 10.1016/j.arthro.2013.11.027. View

10.

Yang J, Chouhan D, Oh K . Percutaneous screw fixation of acetabular fractures: applicability of hip arthroscopy. Arthroscopy. 2010; 26(11):1556-61. DOI: 10.1016/j.arthro.2010.04.068. View

11.

Vale J, Diniz S, Leite P, Soares D . Surgical Treatment of Acetabular Posterior Wall Fracture with Hip Arthroscopy: A Case Report. Hip Pelvis. 2022; 34(1):62-67. PMC: 8931952. DOI: 10.5371/hp.2022.34.1.62. View

12.

Larson C, Swaringen J, Morrison G . A review of hip arthroscopy and its role in the management of adult hip pain. Iowa Orthop J. 2005; 25:172-9. PMC: 1888790. View

13.

Zhong M, Xie H, Fu Z, Lu W, Zhu W, Ouyang K . Arthroscopic Treatment of Acetabular Rim Fracture after Traumatic Posterior Hip Dislocation: A Case Series Study. Orthop Surg. 2021; 13(6):1828-1834. PMC: 8523759. DOI: 10.1111/os.13106. View

14.

Hwang J, Lee C, Kim P, Ha Y . Arthroscopic Reduction and Internal Fixation in Patients with Acetabular Posterior Wall Fractures. Clin Orthop Surg. 2023; 15(5):718-724. PMC: 10551686. DOI: 10.4055/cios22199. View

15.

Kaempffe F, Bone L, BORDER J . Open reduction and internal fixation of acetabular fractures: heterotopic ossification and other complications of treatment. J Orthop Trauma. 1991; 5(4):439-45. DOI: 10.1097/00005131-199112000-00009. View

16.

Niroopan G, de Sa D, Macdonald A, Burrow S, Larson C, Ayeni O . Hip Arthroscopy in Trauma: A Systematic Review of Indications, Efficacy, and Complications. Arthroscopy. 2016; 32(4):692-703.e1. DOI: 10.1016/j.arthro.2015.12.029. View

17.

Yamamoto Y, Ide T, Ono T, Hamada Y . Usefulness of arthroscopic surgery in hip trauma cases. Arthroscopy. 2003; 19(3):269-73. DOI: 10.1053/jars.2003.50033. View

18.

Jamil M, Dandachli W, Noordin S, Witt J . Hip arthroscopy: Indications, outcomes and complications. Int J Surg. 2017; 54(Pt B):341-344. DOI: 10.1016/j.ijsu.2017.08.557. View

19.

Shi R, Yuan L, Tan C, Li A, Qiu X, Yang B . Hip Arthroscopic Reduction and Fixation for Adolescent Acetabular Posterior Wall Fracture: A Case Report. Orthop Surg. 2021; 13(6):1934-1938. PMC: 8523761. DOI: 10.1111/os.13051. View

20.

Stabile K, Neumann J, Mannava S, Howse E, Stubbs A . Arthroscopic treatment of bucket-handle labral tear and acetabular fracture. Arthrosc Tech. 2014; 3(2):e283-7. PMC: 4044544. DOI: 10.1016/j.eats.2014.01.006. View