Hip Pelvis.  2018 Mar;30(1):60-64. 10.5371/hp.2018.30.1.60.

Arthroscopic Management of Intraarticular Screw Perforation after Surgical Treatment of an Acetabular Posterior Wall Fracture: A Case Report

• Jang JH
• Moon NH
• Park KY

• KMID: 2408187
• DOI: http://doi.org/10.5371/hp.2018.30.1.60

Abstract

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.

Keyword

Hip arthroscopy; Screw perforation; Acetabular fracture

MeSH Terms

Acetabulum*
Arthroscopy
Female
Hip
Hip Joint
Humans
Middle Aged
Range of Motion, Articular
Walking