Effectiveness of Hip Arthroscopy Performed Simultaneously before Open Reduction and Internal Fixation for Acetabular Fracture and Fracture-dislocation of the Hip
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: This study is performed to evaluate the usefulness of arthroscopic surgery prior to open reduction and fixation surgery to treat acetabular fractures and hip fractures-dislocation. Materials and Methods: From January 2010 to March 2014, a total of 54 patients with acetabular fractures or hip fractures with dislocation were treated arthroscopically via fracture surface before open reduction and fixation (group 1, n=11), and without hip arthroscopy prior to open reduction and fixation (group 2; n=43). Clinical results were evaluated using Harris hip score (HHS) and visual analogue scale (VAS) pain scores. Results: The mean age of patients is 43.2 years and there are 10 males and 1 females in group 1. The mean follow-up period is 15 months. The acetabular status of each case was assessed arthroscopically. Bone fragment was performed in 6 cases, and ligamentum teres shrinkage in 1 case. At the final follow up, the mean HHS and VAS pain scores were 78.6 and 2.18, respectively. During follow up, one case of osteoarthritis and one case of heterotopic ossification were identified. At the final follow up, the mean HHS and VAS pain scores were 77.5 and 2.23, respectively. In group 2, oteoarthritis and ectopic ossification were observed in 4 and 1 cases, respectively. Conclusion: No differences were observed in the clinical outcomes of patients with acetabular fracture or hip fracture-dislocation when treated with or without arthroscopic surgery before open reduction and fixation. However, arthroscopy is thought to be useful for evaluating the joint cartilage surface and fracture fragments more accurately.
Abstract
Purpose: This study is performed to evaluate the usefulness of arthroscopic surgery prior to open reduction and fixation surgery to treat acetabular fractures and hip fractures-dislocation. Materials and Methods: From January 2010 to March 2014, a total of 54 patients with acetabular fractures or hip fractures with dislocation were treated arthroscopically via fracture surface before open reduction and fixation (group 1, n=11), and without hip arthroscopy prior to open reduction and fixation (group 2; n=43). Clinical results were evaluated using Harris hip score (HHS) and visual analogue scale (VAS) pain scores. Results: The mean age of patients is 43.2 years and there are 10 males and 1 females in group 1. The mean follow-up period is 15 months. The acetabular status of each case was assessed arthroscopically. Bone fragment was performed in 6 cases, and ligamentum teres shrinkage in 1 case. At the final follow up, the mean HHS and VAS pain scores were 78.6 and 2.18, respectively. During follow up, one case of osteoarthritis and one case of heterotopic ossification were identified. At the final follow up, the mean HHS and VAS pain scores were 77.5 and 2.23, respectively. In group 2, oteoarthritis and ectopic ossification were observed in 4 and 1 cases, respectively. Conclusion: No differences were observed in the clinical outcomes of patients with acetabular fracture or hip fracture-dislocation when treated with or without arthroscopic surgery before open reduction and fixation. However, arthroscopy is thought to be useful for evaluating the joint cartilage surface and fracture fragments more accurately.
참고문헌 (20)
- Montgomery SR, "Trends and demographics in hip arthroscopy in the United States", Arthroscopy, 29, pp.661~665 (2013)[DOI]
- Khanna V, "Hip arthroscopy: prevalence of intra-articular pathologic findings after traumatic injury of the hip", Arthroscopy, 30, pp.299~304 (2014)[DOI]
- Yamamoto Y, "Usefulness of arthroscopic surgery in hip trauma cases", Arthroscopy, 19, pp.269~273 (2003)[DOI]
- McCarthy JC, "Hip arthroscopy: indications, outcomes, and complications", Instr Course Lect, 55, pp.301~308 (2006)
- Kelly BT, "Arthroscopic labral repair in the hip: surgical technique and review of the literature", Arthroscopy, 21, pp.1496~1504 (2005)[DOI]
- McCarthy JC, "Hip arthroscopy: when it is and when it is not indicated", Instr Course Lect, 53, pp.615~621 (2004)
- Byrd JW, "Adhesive capsulitis of the hip", Arthroscopy, 22, pp.89~94 (2006)[DOI]
- 황득수, "고관절 비구순의 관절경적 절제술 후 시행한 이차 고관절 관절경 수술 - 예비 보고 -", 대한정형외과학회지, 44(4), pp.480~485 (2009), 대한정형외과학회
- Lim BH, "Open repair and arthroscopic follow-up of severely delaminated femoral head cartilage associated with traumatic obturator fracturedislocation of the hip", Orthopedics, 34, pp.e199~e202 (2011)
- 황정모, "Hip Arthroscopy for Incarcerated Acetabular Labrum following Reduction of Traumatic Hip Dislocation: Three Case Reports", Hip and Pelvis, 28(3), pp.164~168 (2016), 대한고관절학회[DOI]
- Kim YT, "Acetabular labrum entrapment following traumatic posterior dislocation of the hip", J Orthop Sci, 8, pp.232~235 (2003)[DOI]
- 황정택, "Usefulness of Arthroscopic Treatment of Painful Hip after Acetabular Fracture or Hip Dislocation", Clinics in Orthopedic Surgery, 7(4), pp.443~448 (2015), 대한정형외과학회
- Santori N, "Acetabular labral tears: result of arthroscopic partial limbectomy", Arthroscopy, 16, pp.11~15 (2000)
- Rommens PM, "The Kocher-Langenbeck approach for the treatment of acetabular fratures", Eur J Trauma, 30, pp.265~273 (2004)
- Baumgaertner MR, "Fractures of the posterior wall of the acetabulum", J Am Acad Orthop Surg, 7, pp.54~65 (1999)[DOI]
- Bosse MJ, "Posterior acetabular wall fractures: a technique for screw placement", J Orthop Trauma, 5, pp.167~172 (1991)[DOI]
- Kreder HJ, "Determinants of functional outcome after simple and complex acetabular fractures involving the posterior wall", J Bone Joint Surg Br, 88, pp.776~782 (2006)
- Saterbak AM, "Outcome of surgically treated posterior wall aceatabular fractures", Orthop Trans, 21, pp.627~ (1997)
- Tannast M, "Surgical dislocation of the hip for the fixation of acetabular fractures", J Bone Joint Surg Br, 92, pp.842~852 (2010)
- Maini L, "Surgical dislocation of the hip for reduction of acetabular fracture and evaluation of chondral damage", J Orthop Surg (Hong Kong), 22, pp.18~23 (2014)[DOI]