Kim Hyangkyoung, Baek Ji-Hoon, Park Sang-Min, Ha Yong-Chan
Department of Surgery, Chung-Ang University College of Medicine, 224-1 Heukseok-dong, Dongjak-gu, Seoul, 156-755, South Korea.
Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):867-70. doi: 10.1007/s00167-013-2799-y. Epub 2013 Dec 5.
Arthroscopic reduction and screw fixation of acetabular fractures have not been reported. In this case report, arthroscopic treatment for acetabular fracture is reported for two patients. A 49-year-old man diagnosed with acetabular posterior wall fracture was treated by arthroscopic reduction and fixation using two screws. A 20-year-old woman who diagnosed with anterior column fracture was fixed using a screw using the arthroscopic technique prior to open reduction and internal fixation in the iliac bone fracture. Arthroscopic reduction and fixation in some case of acetabular fracture could be good indication with additional advantages of joint debridement and loose body removal.
髋臼骨折的关节镜下复位及螺钉固定尚未见报道。在本病例报告中,报道了两例髋臼骨折的关节镜治疗。一名49岁男性被诊断为髋臼后壁骨折,采用关节镜下复位并用两枚螺钉固定。一名20岁女性被诊断为前柱骨折,在髂骨骨折切开复位内固定之前,先采用关节镜技术用一枚螺钉固定。在某些髋臼骨折病例中,关节镜下复位及固定可能是较好的选择,还具有清理关节和清除游离体的额外优势。