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The Use of Hip Arthroscopy in Trauma of the Hip

  • Alessandro ApratoEmail author
  • Federico Bertolo
  • Alessandro Bistolfi
  • Luigi Sabatini
  • Alessandro Massè
Chapter
Part of the Fracture Management Joint by Joint book series (FMJJ)

Abstract

Hip arthroscopy may be used to treat selected intra-articular lesions even in trauma cases. Although most of the published studies are small case series, results are encouraging. On the other hand, there is consensus about the importance of surgeon’s experience in hip arthroscopy and about the limitations of this technique. Intra-articular injuries are not limited to hip dislocations only, but can be associated with femur head fractures, acetabular fractures, and even soft tissue injuries not associated with a fracture. During arthroscopic treatment of these affections care must be taken in mobilizing, translating, and reducing fracture fragment(s), considering fluoroscopic guidance and the use of chopstick technique where indicated. Allowing early mobilization of hip and protected weight bearing as well as performing interval postoperative radiographic assessment is mandatory.

Arthroscopic treatment of traumatic events is conditioned to the amount of articular damage suffered and to the time the hip has been dislocated before reduction. Complications directly related to the performance of hip arthroscopy such as fluid extravasation into the gluteal compartment, scrotal or perineal pressure wounds, nerve injuries, iatrogenic cartilage injury, and cardiac arrest resulting from abdominal compartment syndrome are rare.

In this chapter we review the indications for hip arthroscopy in trauma cases and the current evidence for these arthroscopic techniques.

Keywords

Hip arthroscopy Loose bodies Traumatic hip dislocation Arthroscopic reduction Hip fractures 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Alessandro Aprato
    • 1
    Email author
  • Federico Bertolo
    • 1
  • Alessandro Bistolfi
    • 1
  • Luigi Sabatini
    • 1
  • Alessandro Massè
    • 1
  1. 1.University of TurinTurinItaly

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