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Arthroscopic removal of an intraarticular bullet from the hip joint: A case report

Tahsin Gurpinar1, Yusuf Ozturkmen1

  • 1Department of Orthopaedics and Traumatology, Istanbul Research and Education Hospital, Istanbul, Turkey.

JPMA. the Journal of the Pakistan Medical Association
|October 15, 2018
PubMed

Despite the fact that gunshots are a common entity, intra-articular bullets in the hip joint are rarely seen. Since retained bullets in the joints can cause both local damage and systemic toxicity, removal of the bullet is mandatory. We present the case of a 48- year-old man who came with an intra-articular bullet fragment in the hip joint which was extracted arthroscopically in February 2017.The operation was performed in the supine position and portals were placed under fluoroscopic guidance. Standard portals were established, and no additional portal was needed. The operation lasted 30 min and duration of traction was 46 min. No complication was observed, and the patient was allowed full weight bearing just after the surgery. Hip arthroscopy is a reliable option to prevent excessive soft tissue dissection and possible iatrogenic complications of open surgery. In addition, it has a very little complication rate compared to open procedures which require dislocation of the joint.

Keywords:
Hip arthroscopy, Bullet in hip, Intraarticular bullet

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