Arthroscopic removal of intraarticular fracture fragment after fracture dislocation of hip

Abstract

Hip arthroscopy has advanced dramatically since the 1990s. The techniques and indications have become better defined, instrumentation has improved, and results are showing early promise worldwide. The hip joint being a ball and socket joint is difficult to treat successfully arthroscopically. The indications of hip arthroscopy are well defined but its scope is increasing. Arthroscopic removal of bullet fragments from the hip, extraction of intraarticular cement, and excision of impinging ligamentum tears have been reported. Contraindications are few and include ankylosis of the hip and superficial skin infections around the hip. The use of arthroscopy for removal of intraarticular bony fragment after closed reduction of dislocation of hip promises to be a minimally invasive technique avoiding the morbidity of hip arthrotomy and damaging the important muscles, nerves & vessels, and thereby preserving the hip function. However, the procedure is technically demanding and a complete removal of intraarticular fragment is necessary for a good outcome.