Treatment of Acetabular Avulsion Fracture with Labral Tear Using Suture Anchor: A Case Report

We present here an operative method that uses the suture anchor technique in the case of a tiny avulsion fracture of the acetabulum along with a labral tear. Generally it is very difficult to determine how to treat patient with either the conservative method or the operative method because it is difficult to decide on the proper method to fix tiny avulsion fracture fragments to the acetabulum. Unstable hip dislocation was perceived in our case, so we tried to fix the fracture fragments to the acetabular rim&repair the labral tear that was seen on the operation field by using the sutue anchor technique. This is now a popular method to repair labral tear of the shoulder joint.

Intraoperative Imaging to Monitor the Alignment of Acetabular Cup for Total Hip Replacement Arthroplasty

PURPOSE: This study examined intraoperative imaging to monitor the alignment of the acetabular cup for total hip replacement arthroplasty (THRA) using C-arm fluoroscopy and to increase the accuracy of THRA prosthetic fixation. MATERIALS AND METHODS: From March 2004 to April 2007, 54 patients underwent THRA monitored by the imaging. 40degreesinclination and a 15degreesanteversion angle was considered to be ideal. The items compared included the alignment of the acetabular cup and the follow up rates of the hip dislocation. RESULTS: There was one case of hip dislocation. The mean inclination angle of the acetabular component was 39.9degreeswith a standard deviation of 3.038. The mean anteversion angle of the acetabular component was 14.9degreeswith a standard deviation of 1.398. The mean difference examination and variance in the anteversion angle showed a significant result.(P<0.05) CONCLUSION: Intraoperative imaging increases the alignment accuracy of the acetabular cup and helps stabilize the prosthesis.