Abstract
Successful hip arthroscopy relies on safe and effective access. Regardless of a supine or lateral approach to the hip, one relies on traction to access the central compartment of the hip and a stable positioning system to facilitate exposure to the peripheral compartment. This chapter outlines the importance of an operative approach to hip arthroscopy that includes operative theater preparation, patient positioning, hip distraction systems, and methods to avoid the pitfalls and complications of hip arthroscopy access. Upon completion of the chapter, the reader will have an improved understanding of the importance of hip distraction in hip arthroscopy, an appreciation of the variety of commercial hip distractors available for hip arthroscopy, and a watch list of complications related to over- or underdistraction to avoid during a hip arthroscopy procedure.
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References
Sampson TG. The lateral approach. In: Byrd JWT, editor. Operative hip arthroscopy. 2nd ed. New York: Thieme; 2005. p. 129–44.
Burman MS. Arthroscopy or direct visualization of the joints: an experimental cadaver study. J Bone Joint Surg Am. 1931;13A:669–95.
Byrd JWT. The supine approach. In: Byrd JWT, editor. Operative hip arthroscopy. 2nd ed. New York: Thieme; 2005. p. 145–69.
Philippon MJ, Stubbs AJ, Schenker ML, Maxwell RB, Ganz R, Leunig M. Arthroscopic management of femoroacetabular impingement: osteoplasty technique and literature review. Am J Sports Med. 2007;35:1571–80.
Byrd JWT. Hip arthroscopy: the supine position. Clin Sports Med. 2001;20:703–31.
Glick JM. Hip arthroscopy: the lateral approach. Clin Sports Med. 2001;20:733–47.
Glick JM. Hip arthroscopy by the lateral approach. Instr Course Lect. 2006;55:317–23.
Glick JM. Hip arthroscopy using the lateral approach. Instr Course Lect. 1988;37:223–31.
Glick JM, Sampson TG, Gordon RB, Behr JT, Schmidt E. Hip arthroscopy by the lateral approach. Arthroscopy. 1987;3:4–12.
McCarthy JC. Hip arthroscopy: applications and technique. J Am Acad Orthop Surg. 1995;3:115–22.
Eriksson E, Arvidsson I, Arvidsson H. Diagnostic and operative arthroscopy of the hip. Orthopedics. 1986;9:169–76.
Dienst M, Gödde S, Seil R, Hammer D, Kohn D. Hip arthroscopy without traction: in vivo anatomy of the peripheral hip joint cavity. J Arthroscopy. 2001;17:924–31.
Simpson J, Sadri H, Villar R. Hip arthroscopy techniques and complications. Orthop Traumatol Surg Res. 2010;96(8 Suppl):S68–76.
Smart LR, Oetgen M, Noonan B, Medvecky M. Beginning hip arthroscopy: indications, positioning, portals, basic techniques, and complications. J Arthroscopy. 2007;23:1348–53.
Bushnell BD, Hoover SA, Olcott CW, Dahners LE. Use of an independent skeletal distractor in hip arthroscopy. J Arthroscopy. 2007;23:106.e1–4.
Dienst M. Hip arthroscopy without traction. In: Byrd JWT, editor. Operative hip arthroscopy. 2nd ed. New York: Thieme; 2005. p. 170–88.
Sampson TG. Complications of hip arthroscopy. Clin Sports Med. 2001;20:831–5.
Clarke MT, Arora A, Villar RN. Hip arthroscopy: complications in 1054 cases. Clin Orthop Relat Res. 2003;406:84–8.
Byrd JWT. Complications associated with hip arthroscopy. In: Byrd JWT, editor. Operative hip arthroscopy. 2nd ed. New York: Thieme; 2005. p. 229–35.
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Stubbs, A.J., Stone, A.V. (2013). Position and Distraction Options. In: Byrd, J. (eds) Operative Hip Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7925-4_10
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DOI: https://doi.org/10.1007/978-1-4419-7925-4_10
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