N°007 - September / October 2020
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Hip arthroscopy on the orthopaedic table: Technique, tips and tricks to avoid potential complications
By Renaud Maes in category
Centre Hospitalier Epicura - Baudour-Hornu, Belgique / [email protected]
The first hip arthroscopy was performed in a cadaver by Michael Burman in 1931, and use of this technique is currently booming, with an increasing number of indications. Training in the technique is long, difficult, and requires specialised equipment including a traction table, image intensifier, 70° arthroscope, trocars (e.g. switching stick), and an open cannula (Half Pipe) for instrument changes.
Furthermore, providing the training is a problem owing to a lack of equipped training centres, most of which are not linked to universities. Training on anatomical specimens is the best way to learn, but these are rare and expensive.
Before describing the surgical technique, I think it is important to review the different arthroscopic compartments of the hip, and to give a brief description of the pathologies in question, as well as potential complications.
From an anatomical perspective, the hip can be subdivided into four distinct arthroscopic compartments:
- A central compartment delimited on one side by the cartilaginous surface of the acetabulum, to the back by the round ligament, the transverse ligament and the deep surface of the labrum, and on the other side by the cartilage of the femoral head;
- A peripheral, extra-articular compartment situated between...
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