Percutaneous screw fixation of acetabular fractures: applicability of hip arthroscopy.


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.

DOI: 10.1016/j.arthro.2010.04.068

Cite this paper

@article{Yang2010PercutaneousSF, title={Percutaneous screw fixation of acetabular fractures: applicability of hip arthroscopy.}, author={Jae-hyuk Yang and Devendra Kumar Chouhan and Kwang-Jun Oh}, journal={Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association}, year={2010}, volume={26 11}, pages={1556-61} }