Arthroscopic Treatment of Acetabular Rim Fracture after Traumatic Posterior Hip Dislocation: A Case Series Study
| Autor: | Mingjin Zhong, Huanyu Xie, Weimin Zhu, Kan Ouyang, Zicai Fu, Wei Lu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Avascular necrosis Osteoarthritis Arthroscopy Fracture Fixation Internal Fractures Bone Young Adult Posterior hip dislocation medicine Hip Dislocation Humans Orthopedics and Sports Medicine Patient Reported Outcome Measures Hip arthroscopy Reduction (orthopedic surgery) Aged Pain Measurement Orthopedic surgery Labrum Clinical Article Hip medicine.diagnostic_test business.industry Acetabulum Middle Aged medicine.disease Surgery Clinical Articles Heterotopic ossification Range of motion business RD701-811 |
| Zdroj: | Orthopaedic Surgery, Vol 13, Iss 6, Pp 1828-1834 (2021) Orthopaedic Surgery |
| ISSN: | 1757-7853 1757-7861 |
| Popis: | Objective To investigate the clinical and radiographic short‐term results of arthroscopic treatment for posterior labrum tears with an attached bony fragment after traumatic posterior hip dislocation. Methods Between July 2014 and May 2019, a consecutive series of nine patients diagnosed with a posterior labrum tear with an attached bony fragment after traumatic posterior hip dislocation were treated by hip arthroscopic techniques. The patients had been injured in traffic accidents (n = 6) or high falls (n = 3). All patients were provided primary treatment at the emergency department of our institution, and then were transferred to our department for arthroscopy. Demographic data (e.g. gender, age, etc), intraoperative findings, the preoperative and postoperative multiple clinical scores and radiological results were subsequently assessed. Visual analogue scale for pain (VAS) and modified Harris hip scores (mHHSs) were measured and compared before surgery, and at the last follow‐up. Results A total of nine patients were enrolled, all of them were male, with a mean age at surgery of 32.2 ± 5.6 years (range, 22–65 years). The patients were followed‐up for an average of 26.5 ± 4.1 (range, 24 to 50 years). During the arthroscopic surgery, all patients had labral tears with posterior acetabular rim fracture. All patients had loose osteochondral fragments. Five had partial or complete tears of ligamentum teres. Two patients had osteochondral damage. Two had capsular rupture. Postoperative X‐ray films and three dimension computed tomography (3D‐CT) showed satisfactory reduction of posterior acetabular wall fractures. The mHHS before surgery and at 1 year and 2 years after surgery were 51.8 ± 4.3, 81.8 ± 2.0 and 87.5 ± 1.9 respectively; VAS scores were 5.6 ± 0.5, 1.3 ± 0.3 and 0.7 ± 0.3 respectively. As compared with the condition before surgery, there was a significant improvement in the mHHS and VAS scores at 1 year and 2 years after surgery (P A 22 year old male underwent arthroscopic treatment for acetabular rim fracture caused by posterior hip dislocation. (A1) X ray showed posterior hip dislocation; X ray (A2) and 3D‐CT (A3) showed posterior acetabular rim fracture after hip reduction; (B1) arthroscopic view of acetabular fracture; (B2) The fracture fragment was fixed with anchor; B3: arthroscopic view of acetabular fracture after reduction. X ray (C1) and 3D‐CT (C2) on the second postoperative day showed well reduction; (C3) 3D‐CT on the 3 months postoperative day showed the complete fracture union. |
| Databáze: | OpenAIRE |
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