Kekatpure Aditya, Ahn Taesoo, Lee Soong Joon, Jeong Mi Youn, Chang Jae Suk, Yoon Pil Whan
Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Department of Orthopedic Surgery, Seoul National University, Boramae Hospital, Seoul, Republic of Korea.
Arthrosc Tech. 2016 Sep 5;5(5):e997-e1000. doi: 10.1016/j.eats.2016.05.001. eCollection 2016 Oct.
Femoral head fractures after posterior dislocation of the hip are uncommon and are conventionally treated by an open method. Hip arthroscopy can be a valuable treatment option for the management of femoral head fractures. Arthroscopy allows for a less invasive option when compared with arthrotomy and can allow faster recovery with minimal soft-tissue injury. We describe the arthroscopic reduction and internal fixation of Pipkin type I femoral head fractures with a detailed stepwise description of the surgical technique, including technical pearls and pitfalls, potential complications, and advantages and disadvantages.
髋关节后脱位后股骨头骨折并不常见，传统上采用开放手术治疗。髋关节镜检查对于股骨头骨折的治疗可能是一种有价值的选择。与关节切开术相比，关节镜检查提供了一种侵入性较小的选择，并且可以使软组织损伤最小化，从而实现更快的恢复。我们描述了皮普金I型股骨头骨折的关节镜下复位和内固定，并对手术技术进行了详细的逐步描述，包括技术要点和陷阱、潜在并发症以及优缺点。
