Jang Jae Hoon, Moon Nam Hoon, Park Ki Young
Department of Orthopaedic Surgery, Pusan National University Hospital, Busan, Korea.
Hip Pelvis. 2018 Mar;30(1):60-64. doi: 10.5371/hp.2018.30.1.60. Epub 2018 Mar 5.
Although surgical techniques for treating acetabular fracture are evolving, the use of periacetabular screws is common, and their placement in acetabular surgery is still technically demanding. For instance, intraarticular screw perforation is a serious complication that may occur during surgical treatment of an acetabular fracture. Here, we describe the case of a 50-year-old female who experienced an intraarticular screw perforation after surgical treatment of a posterior acetabular wall fracture. Removal of the perforated screw was performed arthroscopically based on its ability to offer minimally invasive access to the hip joint. One year after removal of the screw, no radiological signs of osteoarthritic changes were observed. The patient regained normal ambulation without limitations to range of motion or hip pain. To our knowledge, this is the first report on the use of arthroscopy to treat intraarticular screw perforation after surgical treatment of an acetabular fracture.
尽管治疗髋臼骨折的手术技术不断发展，但髋臼周围螺钉的使用很常见，并且在髋臼手术中放置螺钉在技术上仍然具有挑战性。例如，关节内螺钉穿孔是髋臼骨折手术治疗期间可能发生的严重并发症。在此，我们描述了一名50岁女性的病例，该女性在髋臼后壁骨折手术治疗后发生了关节内螺钉穿孔。基于关节镜能够提供对髋关节的微创入路，对穿孔螺钉进行了关节镜下取出。取出螺钉一年后，未观察到骨关节炎改变的放射学迹象。患者恢复了正常行走，活动范围和髋关节疼痛均无受限。据我们所知，这是关于在髋臼骨折手术治疗后使用关节镜治疗关节内螺钉穿孔的首例报告。
