. 2016 Mar 7;5(2):e217–e221. doi: 10.1016/j.eats.2015.11.001

Table 1.

Pearls and Pitfalls of Surgical Technique

Pearls

Minimally invasive technique for bullet extraction without open surgical dislocation

Treatment of concomitant pathology (labral tears, chondromalacia) to reduce risk of future pain and advancing pathology

Irrigation of contaminated joint space

Balloting of femoral head with a probe to assess for avascular necrosis or chondral injury/softening

Evaluation of medial femoral circumflex artery terminal branches

Pitfalls

Lack of Foley catheter contributing to suboptimal fluid management

Lack of routine abdominal examinations to assess for fluid extravasation

Lack of preoperative assessment of neurovascular function in affected extremity

Failure to identify and remove all missile fragments

Displacement of nondisplaced fractures of proximal femur or acetabulum