Abstract
The indications for hip arthroscopy and the technical competency of hip arthroscopy specialists have increased substantially, expanding the potential for this expertise into the arena of trauma surgery. The advantages of arthroscopic osteosynthesis for acetabular fracture fixation as compared to open techniques are its minimally invasive nature, the magnified vision of the joint- and weight-bearing surfaces, and the ability to treat concomitant intra-articular pathology. Other advantages may include better cosmetic outcomes and cost-efficient outpatient surgery. The disadvantages of these procedures are that they are technically demanding, with long learning curves, with limited fixation possibilities, and with increased risk of fluid extravasation in the trauma setting. This chapter introduces the current indications, key concepts, surgical techniques, and utility of arthroscopic osteosynthesis of acetabular fractures.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Anglen JO, DiPasquale T (1994) The reliability of detecting screw penetration of the acetabulum by intraoperative auscultation. J Orthop Trauma 8:404–408
Armstrong JR (1948) Traumatic dislocation of the hip joint; review of 101 dislocations. J Bone Joint Surg Br 30:430–445
Bartlett CS, DiFelice GS, Buly RL, Quinn TJ, Green DS, Helfet DL (1998) Cardiac arrest as a result of intraabdominal extravasation of fluid during arthroscopic removal of a loose body from the hip joint of a patient with an acetabular fracture. J Orthop Trauma 12:294–299
Benali Y, Katthagen BD (2009) Hip subluxation as a complication of arthroscopic debridement. Arthroscopy 25:405–407
Bosse MJ (1991) Posterior acetabular wall fractures: a technique for screw placement. J Orthop Trauma 5:167–172
Bushnell BD, Dahners LE (2009) Fatal pulmonary embolism in a polytraumatized patient following hip arthroscopy. Orthopedics 32:56
Byrd JW (2006) Hip arthroscopy. J Am Acad Orthop Surg 14:433–444
Byrd JW, Jones KS (2004) Traumatic rupture of the ligamentum teres as a source of hip pain. Arthroscopy 20:385–339
Carmack DB, Moed BR, McCarroll K, Freccero D (2001) Accuracy of detecting screw penetration of the acetabulum with intraoperative fluoroscopy and computed tomography. J Bone Joint Surg Am 83:1370–1375
Clarke MT, Arora A, Villar RN (2003) Hip arthroscopy: complications in 1054 cases. Clin Orthop Relat Res 406:84–88
Coelho RF, Gomes CM, Sakaki MH et al (2008) Genitoperineal injuries associated with the use of an orthopedic table with a perineal posttraction. J Trauma 65:820–823
Ebraheim NA, Savolaine ER, Hoeflinger MJ, Jackson WT (1989) Radiological diagnosis of screw penetration of the hip joint in acetabular fracture reconstruction. J Orthop Trauma 3:196–201
Ebraheim NA, Xu R, Biyani A, Benedetti JA (1997) Anatomic basis of lag screw placement in the anterior column of the acetabulum. Clin Orthop Relat Res 339:200–205
Götz LP, Schulz R (2013) Arthroskopisch kontrollierte Schraubenpositionierung bei Osteosynthese einer Acetabulumfraktur. Unfallchirurg 116:1033–1035
Hammit MD, Cole PA, Kregor PJ (2002) Massive perineal wound slough after treatment of complex pelvic and acetabular fractures using a traction table. J Orthop Trauma 16:601–605
Ilizaliturri VM, Gonzalez-Gutierrez B, Gonzalez-Ugalde H, Camacho-Galindo J (2011) Hip arthroscopy after traumatic hip dislocation. Am J Sports Med 39:50S–57S
Ilizaliturri VMJ, Mangino G, Valero FS, Camacho-Galindo J (2005) Hip arthroscopy of the central and peripheral compartments by the lateral approach. Tech Orthop 20:32–36
Kashiwagi N, Suzuki S, Seto Y (2001) Arthroscopic treatment for traumatic hip dislocation with avulsion fracture of the ligamentum teres. Arthroscopy 17:67–69
Kim H, Baek JH, Park S-M, Ha YC (2013) Arthroscopic reduction and internal fixation of acetabular fractures. Knee Surg Sports Traumatol Arthrosc 22:867–870
Khanna V, Harris A, Farrokhyar F, Choudur HN, Wong IH (2014) Hip arthroscopy: prevalence of intra-articular pathologic findings after traumatic injury of the hip. Arthroscopy 30:299–304
Marecek GS, Routt ML Jr (2014) Percutaneous manipulation of intra-articular debris after fracture-dislocation of the femoral head or acetabulum. Orthopedics 37:603–606
Matsuda DK (2009) Acute iatrogenic dislocation following hip impingement arthroscopic surgery. Arthroscopy 25:400–404
Mullis BH, Dahners LE (2006) Hip arthroscopy to remove loose bodies after traumatic dislocation. J Orthop Trauma 20:22–26
Niroopan G, de Sa D, MacDonald A, Burrow S, Larson CM, Ayeni OR (2016) Hip arthroscopy in trauma: a systematic review of indications, efficacy, and complications. Arthroscopy 32:692–703
Norris BL, Hahn DH, Bosse MJ, Kellam JF, Sims SH (1999) Intraoperative fluoroscopy to evaluate fracture reduction and hardware placement during acetabular surgery. J Orthop Trauma 13:414–417
Philippon MJ, Kuppersmith DA, Wolff AB, Briggs KK (2009) Arthroscopic findings following traumatic hip dislocation in 14 professional athletes. Arthroscopy 25:169–174
Rath E, Amar E, Doron R, Matsuda DK (2014) Hip arthroscopy for synovial chondromatosis: tips and tricks. Arthrosc Tech 3:e709–e712
Robertson WJ, Kelly BT (2008) The safe zone for hip arthroscopy: a cadaveric assessment of central, peripheral, and lateral compartment portal placement. Arthroscopy 24:1019–1026
Sampson TG (2005) Complications of hip arthroscopy. Tech Orthop 20:63–66
Stabile KJ, Neumann JA, Mannava S, Howse EA, Stubbs AJ (2014) Arthroscopic treatment of bucket-handle labral tear and acetabular fracture. Arthrosc Tech 3:e283–e287
Thompson VP, Epstein HC (1951) Traumatic dislocation of the hip; a survey of two hundred and four cases covering a period of twenty-one years. J Bone Joint Surg Am 33:746–778
Upadhyay SS, Moulton A, Srikrishnamurthy K (1983) An analysis of the late effects of traumatic posterior dislocation of the hip without fractures. J Bone Joint Surg Br 65:150–152
Yamamoto Y, Ide T, Ono T, Hamada Y (2003) Usefulness of arthroscopic surgery in hip trauma cases. Arthroscopy 19:269–273
Yang J-H, Chouhan DK, Oh K (2010) Percutaneous screw fixation of acetabular fractures: applicability of hip arthroscopy. Arthroscopy 26:1556–1561
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Amar, E., Sharfman, Z.T., Lebel, D.E., Rath, E. (2019). Arthroscopic Management of Acetabular Fractures. In: Doral, M., Karlsson, J., Nyland, J., Benedetto, K. (eds) Intraarticular Fractures. Springer, Cham. https://doi.org/10.1007/978-3-319-97602-0_23
Download citation
DOI: https://doi.org/10.1007/978-3-319-97602-0_23
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-97600-6
Online ISBN: 978-3-319-97602-0
eBook Packages: MedicineMedicine (R0)