关节镜辅助经皮固定股骨头骨折（Pipkin II）：一例报告。

Arthroscopic-Assisted Percutaneous Fixation of a Femoral Head Fracture (Pipkin II): A Case Report.

机构信息

Orthopedic Department, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain.

Trauma Orthopaedic Surgery Unit, Department of Orthopaedic Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.

出版信息

JBJS Case Connect. 2022 Aug 29;12(3). doi: e22.00194. eCollection 2022 Jul 1.

DOI:10.2106/JBJS.CC.22.00194

PMID:36040067

Abstract

CASE

Fractures of the femoral head are infrequent injuries with potentially devastating complications. Pipkin type II fractures often require surgical fixation. It involves intraarticular approaches that may increase the inherent morbidity of these fractures. Hip arthroscopy minimizes surgical aggression and allows for direct control of fracture reduction. We present a case report of an arthroscopic-assisted percutaneous fixation of a Pipkin-II femoral head fracture. A hip arthroscopy without traction and percutaneous screw fixation was conducted under arthroscopic and fluoroscopic guidance.

CONCLUSION

Arthroscopic-assisted percutaneous fixation is a useful technique for optimal femoral head fracture treatment and may also minimize surgical morbidity and optimize early recovery.

摘要

病例

股骨头骨折是一种罕见的损伤，可能会导致严重的并发症。Pipkin II 型骨折通常需要手术固定。手术涉及关节内入路，这可能会增加这些骨折的固有发病率。髋关节镜检查可最大限度地减少手术侵袭，并可直接控制骨折复位。我们报告了一例髋关节镜辅助经皮固定 Pipkin-II 型股骨头骨折的病例。在关节镜和透视引导下进行无牵引髋关节镜检查和经皮螺钉固定。