Hip Pelvis.  2016 Jun;28(2):120-126. 10.5371/hp.2016.28.2.120.

Arthroscopic Reduction and Transportal Screw Fixation of Acetabular Posterior Wall Fracture: Technical Note

  • 1Department of Orthopaedic Surgery, St. Carollo Hospital, Suncheon, Korea. woo7s@naver.com


Acetabular fractures can be treated with variable method. In this study, acetabular posterior wall fracture was treated with arthroscopic reduction and fixation using cannulated screw. The patient recovered immediately and had a satisfactory outcome. In some case of acetabular fracture could be good indication with additional advantages of joint debridement and loose body removal. So, we report our case with technical note.


Acetabular posterior wall fracture; Hip arthroscopy; Arthroscopic reduction

MeSH Terms



  • Fig. 1 Left acetabular posterior wall fracture was seen in obturator foramen view.

  • Fig. 2 Arthroscopic images. (A) Fracture site was seen with haematoma. (B) The fracture fragment (arrows) of the acetabular posterior wall was visualized after haematoma evacuation.

  • Fig. 3 (A) A 4.0-mm-diameter cannulated screws was fixated. (B) Reduced fracture site under direct arthroscopic visualization.

  • Fig. 4 (A) Postoperative axial computed tomography image. (B) Obturator foreman view and (C) postoperative 6 months later view.

  • Fig. 5 Right acetabular posterior wall fracture was seen in anterior-posterior (AP) and obturator foramen view. (C) Right femur shaft fracture was seen in AP view.

  • Fig. 6 Arthroscopic image fracture site was seen with haematoma.

  • Fig. 7 (A) Postoperative anterior-posterior (AP) and (B) obturator foramen view. (C) Femoral shaft fracture site after intramedullary nail system in c-arm image and (D) post traction AP view.

  • Fig. 8 Second look arthroscopic image. Acetabular posterior wall fracture was healed completely.

  • Fig. 9 (A) Right acetabulum posterior wall fracture was seen in obturator foramen view. (B) Intraoperative C-arm image. The size and shape of obturator foramen was similar with preoperative radiograph.

  • Fig. 10 From above, a curved guide of jugger knot™ (1.4 and 1.5 mm, curved reusable guide; Biomet), a centering sleeve (distal portion is flexible), and a flexible guide wire.

Cited by  1 articles

Arthroscopic Management of Intraarticular Screw Perforation after Surgical Treatment of an Acetabular Posterior Wall Fracture: A Case Report
Jae Hoon Jang, Nam Hoon Moon, Ki Young Park
Hip Pelvis. 2018;30(1):60-64.    doi: 10.5371/hp.2018.30.1.60.


1. Kaempffe FA, Bone LB, Border JR. Open reduction and internal fixation of acetabular fractures: heterotopic ossification and other complications of treatment. J Orthop Trauma. 1991; 5:439–445.
2. Pantazopoulos T, Mousafiris C. Surgical treatment of central acetabular fractures. Clin Orthop Relat Res. 1989; (246):57–64.
3. Yang JH, Chouhan DK, Oh KJ. Percutaneous screw fixation of acetabular fractures: applicability of hip arthroscopy. Arthroscopy. 2010; 26:1556–1561.
4. Mouhsine E, Garofalo R, Borens O, et al. Percutaneous retrograde screwing for stabilisation of acetabular fractures. Injury. 2005; 36:1330–1336.
5. Atesok K, Doral MN, Whipple T, et al. Arthroscopy-assisted fracture fixation. Knee Surg Sports Traumatol Arthrosc. 2011; 19:320–329.
6. Kim H, Baek JH, Park SM, Ha YC. Arthroscopic reduction and internal fixation of acetabular fractures. Knee Surg Sports Traumatol Arthrosc. 2014; 22:867–870.
7. Park MS, Her IS, Cho HM, Chung YY. Internal fixation of femoral head fractures (Pipkin I) using hip arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2014; 22:898–901.
8. Yamamoto Y, Ide T, Ono T, Hamada Y. Usefulness of arthroscopic surgery in hip trauma cases. Arthroscopy. 2003; 19:269–273.
9. Beutel BG, Collins JA, Garofolo G, Youm T. Hip arthroscopy outcomes, complications, and traction safety in patients with prior lower-extremity arthroplasty. Int Orthop. 2015; 39:13–18.
10. Ladner B, Nester K, Cascio B. Abdominal fluid extravasation during hip arthroscopy. Arthroscopy. 2010; 26:131–135.
Full Text Links
  • HP
export Copy
  • Twitter
  • Facebook
Similar articles
Copyright © 2023 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr