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DOI: 10.1055/s-0042-1750714
A Novel Method of Treatment of Small Osteolabral Avulsions Associated with Posterior Fracture dislocation of the Hip
Article in several languages: português | English Financial Support The authors declare that they have received no funding from agencies in the public, private or non-profit sectors for the conduction of the present study.
Abstract
Small osteolabral avulsions of the hip can be easily missed, and postreduction stress testing and a computed tomography (CT) scan of the hip should be done to look for these injuries. The usual modality of treatment of these unstable osteolabral avulsions is suture anchors, Herbert screws or spring plates. But when the bony avulsion is small, the use of these implants becomes a tedious job. We present a novel technique of fixing small osteochondral avulsion fractures not amenable to fixation using screws or spring plates.
We performed a retrospective analysis of 57 cases of patients who underwent open reduction and internal fixation for posterior fracture dislocation of the acetabulum, and we identified 6 cases of small posterior labral osteochondral fragments leading to instability. These injuries were fixed using a novelmethod. Themean Harris Hip Score at the final follow-up was of 92.5. Fixation of osteochondral avulsions associated with posterior hip fracture dislocation can be a difficult task if the bony fragment is small. Our technique is a simple, cost-effective and reliable way of fixing such avulsions with satisfactory outcomes.
Authors' Contributions
All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Sharma A., Gupta S., and Kansay R. The first draft of the manuscript was written by Sharma A. and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
Financial Support
The authors declare that they have received no funding from agencies in the public, private or non-profit sectors for the conduction of the present study.
Work developed at the Govt Medical College and Hospital, Chandigarh, India
Publication History
Received: 28 December 2021
Accepted: 18 February 2022
Article published online:
01 August 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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