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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo)
DOI: 10.1055/s-0042-1750714
Nota Técnica

A Novel Method of Treatment of Small Osteolabral Avulsions Associated with Posterior Fracture Dislocation of the Hip

Article in several languages: português | English
Sandeep Gupta 
1   Departamento de Ortopedia, Fortis Hospital, Mohali, Punjab, Índia
,
Rajeev Kansay 
2   Departamento de Ortopedia, Govt Medical College and Hospital, Chandigarh, Índia
,
Anmol Sharma 
1   Departamento de Ortopedia, Fortis Hospital, Mohali, Punjab, Índia
,
Naveen Mittal 
2   Departamento de Ortopedia, Govt Medical College and Hospital, Chandigarh, Índia
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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.

A retrospective analysis of 57 cases who underwent open reduction and internal fixation for posterior fracture dislocation of the acetabulum was performed and 6 cases that had a posterior labral small osteochondral fragment leading to instability were identified. These injuries were fixed using a novel method. The mean Harris Hip Score at the final follow-up was 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.

Keywords

acetabulum - fracture, bone - femoral head

Contributions of the Authors

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 present research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.


The present work was 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. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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