Arthroscopic resection of bone fragment after reduction of hip luxation: case report
Keywords:Orthopedics, Traumatology, Hip Arthroplasty, Surgical Review
AbstractIntroduction: When the hip dislocation is reduced, fragments can remain inside the joint, especially in cases of posterior dislocation, where the fracture of the posterior wall of the acetabulum can be comminuted. The fragments are difficult to detect by conventional radiography and, therefore, computed tomography is always indicated in fractures-dislocations in the pre- and postoperative period to verify that all intra-articular fragments have been removed and the fracture has been reduced: Aim: Report a case of arthroscopic resection of a bone fragment after reduction of hip dislocation seen at our Service. Method: This is a single, retrospective case study carried out at the Orthopedics and Traumatology Service of Hospital Universitário São Francisco in Providência de Deus (HUSF), located in the city of Bragança Paulista – SP, Brazil. Conclusion: This report demonstrated that the posterior dislocation of the left hip associated with the fracture of the posterior ridge of the acetabulum can generate intra-articular bone fragments resulting from the fracture of the posterior ridge of the acetabulum. After the reduction, such fragments should be removed, preferably by arthroscopy, aiming at greater anatomical and functional damage to the hip joint.
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