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KMID : 0386720080200030225
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Journal of the Korean Hip Society
2008 Volume.20 No. 3 p.225 ~ p.230
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Arthroscopic Removal of the Intraarticular Fracture Fragment after Internal Fixation of Acetabular Fracture
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Kim Weon-Yoo
Ji Jong-Hun
Park Sang-Eun
Lee Se-Won
Moon Chang-Yun
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Abstract
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Osteochondral fragements incarcerated in the hip joint during fracture-dislocation have been reported to be the cause of posttraumatic arthritis, and open reduction of the fracture or removal of the fragments during surgery is recommended. Locking symptoms developed during hip joint movement in a patient with a history of hip joint fracture-dislocation (Thompson and Epstein (T-E) type III) after undergoing internal fixation of the acetabular fracture. Computer tomographic (CT) scan revealed a bony fragment impinging on the acetabular weight-bearing portion. This bony fragment was removed using hip arthroscopy. We recommend that CT evaluation be performed after surgery for acetabular fractures. We also recommend arthroscopic removal as a treatment option for posttraumatic loose bodies in the hip joint.
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KEYWORD
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Hip joint, Fracture-dislocation, Loose bodies, Hip arthroscopy
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