Hip & pelvis

  • 제30권1호
  • /
  • Pages.60-64
  • /
  • 2018
  • /
  • 2287-3260(pISSN)
  • /
  • 2287-3279(eISSN)
대한고관절학회 (The Korean Hip Society)
권호 표지
DOI QR코드

DOI QR Code

Arthroscopic Management of Intraarticular Screw Perforation after Surgical Treatment of an Acetabular Posterior Wall Fracture: A Case Report

  • Jang, Jae Hoon (Department of Orthopaedic Surgery, Pusan National University Hospital) ;
  • Moon, Nam Hoon (Department of Orthopaedic Surgery, Pusan National University Hospital) ;
  • Park, Ki Young (Department of Orthopaedic Surgery, Pusan National University Hospital)
  • 투고 : 2017.12.14
  • 심사 : 2018.01.13
  • 발행 : 2018.03.01
⟨ 이전 논문 다음 논문 ⟩

초록

Although surgical techniques for treating acetabular fracture are evolving, the use of periacetabular screws is common, and their placement in acetabular surgery is still technically demanding. For instance, intraarticular screw perforation is a serious complication that may occur during surgical treatment of an acetabular fracture. Here, we describe the case of a 50-year-old female who experienced an intraarticular screw perforation after surgical treatment of a posterior acetabular wall fracture. Removal of the perforated screw was performed arthroscopically based on its ability to offer minimally invasive access to the hip joint. One year after removal of the screw, no radiological signs of osteoarthritic changes were observed. The patient regained normal ambulation without limitations to range of motion or hip pain. To our knowledge, this is the first report on the use of arthroscopy to treat intraarticular screw perforation after surgical treatment of an acetabular fracture.

키워드

과제정보

연구 과제 주관 기관 : Pusan National University Hospital

참고문헌

  1. Gras F, Marintschev I, Klos K, Muckley T, Hofmann GO, Kahler DM. Screw placement for acetabular fractures: which navigation modality (2-dimensional vs. 3-dimensional) should be used? An experimental study. J Orthop Trauma. 2012; 26:466-73. https://doi.org/10.1097/BOT.0b013e318234d443
  2. Eberl R, Muller EJ, Kaminski A, Muhr G. [The postoperative control CT after a fracture of the acetabulum. A useful quality control measure or an unnecessary exposure to radiation?]. Unfallchirurg. 2003;106:741-5. German. https://doi.org/10.1007/s00113-003-0624-7
  3. Yamamoto Y, Ide T, Ono T, Hamada Y. Usefulness of arthroscopic surgery in hip trauma cases. Arthroscopy. 2003;19:269-73. https://doi.org/10.1053/jars.2003.50033
  4. Hari Krishnan B, Joshi GR, Pushkar A. Arthroscopic removal of intraarticular fracture fragment after fracture dislocation of hip. Med J Armed Forces India. 2015;71(Suppl 1):S208-10. https://doi.org/10.1016/j.mjafi.2014.02.010
  5. Ide T, Akamatsu N, Nakajima I. Arthroscopic surgery of the hip joint. Arthroscopy. 1991;7:204-11. https://doi.org/10.1016/0749-8063(91)90109-B
  6. Kim PS, Hwang DS. The current concepts of hip arthroscopy. J Korean Orthop Assoc. 2017;52:484-99. https://doi.org/10.4055/jkoa.2017.52.6.484
  7. Park JY, Chung WC, Kim CK, Huh SH, Kim SJ, Jung BH. Arthroscopic reduction and transportal screw fixation of acetabular posterior wall fracture: technical note. Hip Pelvis. 2016;28:120-6. https://doi.org/10.5371/hp.2016.28.2.120
  8. Enseki KR, Martin RL, Draovitch P, Kelly BT, Philippon MJ, Schenker ML. The hip joint: arthroscopic procedures and postoperative rehabilitation. J Orthop Sports Phys Ther. 2006;36:516-25. https://doi.org/10.2519/jospt.2006.2138
  9. Kubo T, Utsunomiya H, Watanuki M, Hayashi H, Sakai A, Uchida S. Hip arthroscopic osteochondral autologous transplantation for treating osteochondritis dissecans of the femoral head. Arthrosc Tech. 2015;4:e675-80. https://doi.org/10.1016/j.eats.2015.07.011
  10. Fontana A, Bistolfi A, Crova M, Rosso F, Massazza G. Arthroscopic treatment of hip chondral defects: autologous chondrocyte transplantation versus simple debridement--a pilot study. Arthroscopy. 2012;28:322-9. https://doi.org/10.1016/j.arthro.2011.08.304