A Posterior Arthroscopic Approach to Bullet Extraction from the Hip

Transabdominal gun shot injury to the hip joint—a new open technique for removal of the bullet

“…Recently, several authors have reported arthroscopic removal of bullets and other foreign body from the hip joint with good results. [3][4][5] Williams et al reported a new technique of removing an intra-articular bullet fragments from the femoral head using a DHS Triple reamer. 7 Open arthrotomy however still remains the conventional approach for foreign body removal from the hip joint.…”

“…However arthroscopic removal of bullets has recently been favoured for direct gunshot wounds to the hip. [3][4][5] This patient sustained a transabdominal gunshot wound. The bullet had passed through multiple sections of the small bowel and was lodged in the posterior column of the acetabulum.…”

Operative Arthroskopie des Hüftgelenks

“…Ihr radiologischer Nachweis, mit entsprechenden klinischen Symptomen, stellt eine klassische Indikation für ein arthroskopisches Verfahren an der Hüfte dar [28,29,30,36,49,50,51]. Freie Körper finden sich nicht selten: F nach einem Anpralltrauma [7], F auf Basis einer Koxarthrose [18], F bei synovialer Chondromatose [41,43,55], F beim Morbus Perthes [33,37] und F bei einer Osteochondrosis dissecans [31].…”

Arthroscopic Approaches to the Hip Joint

“…For this reason, Goldman et al 13 described a combined procedure that includes arthroscopic as well as the miniopen posterior approach with dissection of the sciatic nerve to facilitate access to the posterior aspect of the joint. Similarly, Hawkins et al 14 and Sekiya et al 24 described a small anterior exposure to the hip with miniarthrotomy and subluxation of the femoral head to facilitate the arthroscopic work inside the joint.…”