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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2020, Number 4

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Acta Ortop Mex 2020; 34 (4)

Fixation of acetabulum posterior column fracture, arthroscopy assisted

Altamirano-Cruz M, Flores-Villalobos ARS, Bustos-Mora R, Gutiérrez-Ramírez L

Language: Spanish
References: 32
Page: 222-227
PDF size: 276.51 Kb.


ABSTRACT

Arthroscopic surgery of the hip has evolved significantly over the last years, offering an opportunity of treatment in several intra-articular pathologies. Recent methods and instrumental advances have allowed more frequent use of this procedure, with various indications such as: hip pain, acetabular labrum lesions, extraction of foreign bodies, debridement in septic arthritis, pincer impingement, and some extra-articular injuries. Another intra-articular hip pathology that benefits from arthroscopic assistance could be found in the management of simple acetabular fractures. Therefore, this report presents the case of a patient with a posterior column fracture treated with an arthroscopic approach. Arthroscopic techniques for the fixation of intra-articular fractures offer the advantage of a direct visualization of the articular surface, which results in an anatomical reduction. In addition, arthroscopic techniques also present a benefit for intra-articular injuries such as the posterior labral lesion in this case. In simple fractures of the posterior acetabular column with minimum displacement, where percutaneous screw fixation is useful as a definitive fixation method, hip arthroscopy is useful for the reduction process and verifies the extra-articular screw trajectory.


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