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Percutaneous Screw Fixation of Acetabular Fractures: Applicability of Hip Arthroscopy

Authors
Journal
Arthroscopy The Journal of Arthroscopic and Related Surgery
0749-8063
Publisher
Elsevier
Publication Date
Volume
26
Issue
11
Identifiers
DOI: 10.1016/j.arthro.2010.04.068

Abstract

Abstract Percutaneous screw fixation of the anterior column of the acetabulum has been a challenging task because of its unique anatomy and a risk of intra-articular penetration. Evidence is lacking for any tools to provide visual scrutiny of fracture reduction and intra-articular screw penetration. We report 2 cases of fracture of the acetabulum that developed in young female athletes, in which the anterior column was fixed with a percutaneous screw by use of hip arthroscopy as an assisting tool for intra-articular observation. In our experience this method was found to be promising in terms of anatomic reduction of the fracture site, avoiding articular penetration during screw insertion, with additional advantages of joint debridement, lavage, and reduction in radiation exposure.

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