Arthroscopic Management of Acetabular Fractures
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.