Arthroscopic surgery of the hip joint

Ide, Tatsuya; Akamatsu, Noriya; Nakajima, Ikumasa

doi:10.1016/0749-8063(91)90109-b

Cited by 99 publications

(25 citation statements)

References 7 publications

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“…5,6 Various techniques have been described, with the patient in a lateral 7 or supine position, 8 with or without hip distraction, 9,10 and with various portals.…”

mentioning

confidence: 99%

Complications of arthroscopy of the hip

Griffin

Villar

1999

The Journal of Bone and Joint Surgery. British volume

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A lthough arthroscopy of the hip is being carried out increasingly, little is known about the rate of associated complications. We describe a prospective study of 640 consecutive procedures in which a consistent technique was used. The overall complication rate was 1.6%. Complications, none of which was major or long-term, included transient palsy of the sciatic and femoral nerves, perineal injury, bleeding from the portal wounds, trochanteric bursitis and intra-articular breakage of the instrument. We believe that it is possible to undertake this operation safely using the technique described.J Bone Joint Surg [Br] 1999;81-B:604-6.

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“…5,6 Various techniques have been described, with the patient in a lateral 7 or supine position, 8 with or without hip distraction, 9,10 and with various portals.…”

mentioning

confidence: 99%

Complications of arthroscopy of the hip

Griffin

Villar

1999

The Journal of Bone and Joint Surgery. British volume

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“…We try therefore to undertake therapeutic procedures with subluxation rather than dislocation. Although some investigators have reported good results using arthroscopy of the hip in the diagnosis and treatment of intra-articular pathology such as labral tears, loose bodies, and early osteoarthritis, 6,[39][40][41][42][43] the technique is difficult.…”

Section: Discussionmentioning

confidence: 99%

Surgical dislocation of the adult hip

Ganz

Gill

Gautier

et al. 2001

The Journal of Bone and Joint Surgery. British volume

683

108

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S urgical dislocation of the hip is rarely undertaken.The potential danger to the vascularity of the femoral head has been emphasised, but there is little information as to how this danger can be avoided. We describe a technique for operative dislocation of the hip, based on detailed anatomical studies of the blood supply. It combines aspects of approaches which have been reported previously and consists of an anterior dislocation through a posterior approach with a 'trochanteric flip' osteotomy. The external rotator muscles are not divided and the medial femoral circumflex artery is protected by the intact obturator externus. We report our experience using this approach in 213 hips over a period of seven years and include 19 patients who underwent simultaneous intertrochanteric osteotomy. The perfusion of the femoral head was verified intraoperatively and, to date, none has subsequently developed avascular necrosis. There is little morbidity associated with the technique and it allows the treatment of a variety of conditions, which may not respond well to other methods including arthroscopy. Surgical dislocation gives new insight into the pathogenesis of some hip disorders and the possibility of preserving the hip with techniques such as transplantation of cartilage.

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“…Most authors agree that at least two portals are required for hip arthroscopy. 42 However, it has required cadaveric studies to elucidate the safest position for the incisions. 18 The lateral portal, situated just above the greater trochanter, is the safest starting point.…”

Section: Looking At All the Anglesmentioning

confidence: 99%

The Evolution and Impact of Hip Arthroscopy

Costa

Villar

2005

Techniques in Orthopaedics

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The first part of this article charts the evolution of hip arthroscopy over the last 25 years. The importance of patient positioning, including the use of traction, is discussed, as well as technical aspects of access to the hip joint. The development of specialist instrumentation and image guidance has been vital to the development of hip arthroscopy. Emphasis is placed on the recognition of normal anatomy as well as pathology within the joint. The second part of the article looks at the impact of arthroscopic techniques on specific conditions affecting the hip joint. The indications and relative contraindications are reviewed. The role of diagnostic hip arthroscopy and its relationship to other diagnostic modalities are also discussed. A brief look at potential future applications of hip arthroscopy ends the article.

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Arthroscopic surgery of the hip joint

Cited by 99 publications

References 7 publications

Complications of arthroscopy of the hip

Complications of arthroscopy of the hip

Surgical dislocation of the adult hip

The Evolution and Impact of Hip Arthroscopy

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