Percutaneous Screw Fixation of Acetabular Fractures: Applicability of Hip Arthroscopy

Initial arthroscopic view of acetabular fracture. The fracture gap and the interposed soft tissue are directly visualized. The anterolateral portal was used for viewing and the posterolateral portal for outflow.

Soft-tissue debridement at the fracture gap was done with the arthroscopic shaver. Three hip joint portals were used: anterior, anterolateral, and posterolateral. The anterior portal was used as a working portal and the anterolateral portal for viewing.

Compression of fracture gap was directly visualized under arthroscopy. The gradual compression of the articular gap as the screws are inserted should be noted. The remaining soft tissues after compression were debrided thereafter.