A Technique for Peripheral Compartment First and Periportal Access for Hip Arthroscopy

Hip arthroscopy has become the preferred method for surgical management of numerous hip pathologies. Traditionally, arthroscopic access to the hip has mainly been performed by starting in the central compartment first, which commonly requires capsulotomy and subsequent closure to access the hip join...

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Main Authors: Edward R. Floyd, M.D., Tanner L. Kippes, B.S., Kyler A. Hardie, B.S., Nathan W. Skelley, M.D.
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724003256
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author Edward R. Floyd, M.D.
Tanner L. Kippes, B.S.
Kyler A. Hardie, B.S.
Nathan W. Skelley, M.D.
author_facet Edward R. Floyd, M.D.
Tanner L. Kippes, B.S.
Kyler A. Hardie, B.S.
Nathan W. Skelley, M.D.
author_sort Edward R. Floyd, M.D.
collection DOAJ
description Hip arthroscopy has become the preferred method for surgical management of numerous hip pathologies. Traditionally, arthroscopic access to the hip has mainly been performed by starting in the central compartment first, which commonly requires capsulotomy and subsequent closure to access the hip joint. This technique is both technically challenging and has been associated with iatrogenic damage to the hip cartilage, as well as the labrum, potentially compromising the integrity of the hip capsule. In this Technical Note, we present our approach to hip arthroscopy that accesses the hip through the peripheral compartment first, with minimal periportal capsulotomies, using a post-less traction bed. This technique can decrease the risk of iatrogenic damage, decrease surgical time, and improve visualization and accessibility for both novice and advanced hip arthroscopy surgeons.
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series Arthroscopy Techniques
spelling doaj-art-39adf6da37bf41b68c2beba6e6108b372025-08-20T03:11:37ZengElsevierArthroscopy Techniques2212-62872025-02-0114210319210.1016/j.eats.2024.103192A Technique for Peripheral Compartment First and Periportal Access for Hip ArthroscopyEdward R. Floyd, M.D.0Tanner L. Kippes, B.S.1Kyler A. Hardie, B.S.2Nathan W. Skelley, M.D.3Sanford Orthopedics & Sports Medicine, Fargo, North Dakota, U.S.A.; University of North Dakota School of Medicine & Health Sciences, Grand Forks, North Dakota, U.S.A.University of South Dakota Sanford School of Medicine, South Dakota, U.S.A.University of South Dakota Sanford School of Medicine, South Dakota, U.S.A.University of South Dakota Sanford School of Medicine, South Dakota, U.S.A.; Sanford Orthopedics & Sports Medicine, Sioux Falls, South Dakota, U.S.A.; Address correspondence to Nathan W. Skelley, M.D., Sanford Orthopedics & Sports Medicine, 1210 W 18th St, Ste G01, Sioux Falls, SD 57104, U.S.A.Hip arthroscopy has become the preferred method for surgical management of numerous hip pathologies. Traditionally, arthroscopic access to the hip has mainly been performed by starting in the central compartment first, which commonly requires capsulotomy and subsequent closure to access the hip joint. This technique is both technically challenging and has been associated with iatrogenic damage to the hip cartilage, as well as the labrum, potentially compromising the integrity of the hip capsule. In this Technical Note, we present our approach to hip arthroscopy that accesses the hip through the peripheral compartment first, with minimal periportal capsulotomies, using a post-less traction bed. This technique can decrease the risk of iatrogenic damage, decrease surgical time, and improve visualization and accessibility for both novice and advanced hip arthroscopy surgeons.http://www.sciencedirect.com/science/article/pii/S2212628724003256
spellingShingle Edward R. Floyd, M.D.
Tanner L. Kippes, B.S.
Kyler A. Hardie, B.S.
Nathan W. Skelley, M.D.
A Technique for Peripheral Compartment First and Periportal Access for Hip Arthroscopy
Arthroscopy Techniques
title A Technique for Peripheral Compartment First and Periportal Access for Hip Arthroscopy
title_full A Technique for Peripheral Compartment First and Periportal Access for Hip Arthroscopy
title_fullStr A Technique for Peripheral Compartment First and Periportal Access for Hip Arthroscopy
title_full_unstemmed A Technique for Peripheral Compartment First and Periportal Access for Hip Arthroscopy
title_short A Technique for Peripheral Compartment First and Periportal Access for Hip Arthroscopy
title_sort technique for peripheral compartment first and periportal access for hip arthroscopy
url http://www.sciencedirect.com/science/article/pii/S2212628724003256
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