Modifications to the Hip Arthroscopy Technique When Performing Combined Hip Arthroscopy and Periacetabular Osteotomy
In the realm of hip preservation, hip arthroscopy is often used to address intra-articular impingement pathology, whereas periacetabular osteotomy (PAO) is used to address dysplasia and instability. Indications to combine these 2 procedures include hip dysplasia and symptomatic instability with a co...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2017-10-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628717302311 |
| _version_ | 1819002586453245952 |
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| author | Andrea M. Spiker, M.D. Kate R. Gumersell, P.A-C. Ernest L. Sink, M.D. Bryan T. Kelly, M.D. |
| author_facet | Andrea M. Spiker, M.D. Kate R. Gumersell, P.A-C. Ernest L. Sink, M.D. Bryan T. Kelly, M.D. |
| author_sort | Andrea M. Spiker, M.D. |
| collection | DOAJ |
| description | In the realm of hip preservation, hip arthroscopy is often used to address intra-articular impingement pathology, whereas periacetabular osteotomy (PAO) is used to address dysplasia and instability. Indications to combine these 2 procedures include hip dysplasia and symptomatic instability with a concomitant symptomatic labral tear or the other symptomatic intra-articular pathology (i.e., loose body, chondral flap). The arthroscopic portion of the procedure allows repair of the injured labrum and close inspection of the hip joint, and the PAO addresses undercoverage and/or inappropriate version of the acetabulum. The open approach used in PAO also allows access to the peripheral compartment to debride a cam lesion, if present, and the subspine region is accessible to perform subspine decompression, if needed. In this technique, we highlight special considerations pertaining to hip arthroscopy that is performed in combination with a PAO. Hip arthroscopy is the first procedure that takes place in this combined case, and modifications to the standard hip arthroscopic technique can prevent unnecessary difficulty during the PAO that follows. |
| first_indexed | 2024-12-20T23:07:28Z |
| format | Article |
| id | doaj.art-26b431748ddc4ed48e2420b2fc93c20a |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-20T23:07:28Z |
| publishDate | 2017-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-26b431748ddc4ed48e2420b2fc93c20a2022-12-21T19:23:49ZengElsevierArthroscopy Techniques2212-62872017-10-0165e1857e1863Modifications to the Hip Arthroscopy Technique When Performing Combined Hip Arthroscopy and Periacetabular OsteotomyAndrea M. Spiker, M.D.0Kate R. Gumersell, P.A-C.1Ernest L. Sink, M.D.2Bryan T. Kelly, M.D.3Address correspondence to Andrea M. Spiker, M.D., Department of Orthopaedic Surgery, Hip Preservation Service, Hospital for Special Surgery, 535 E. 70th St., New York, NY 10021, U.S.A.; Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.In the realm of hip preservation, hip arthroscopy is often used to address intra-articular impingement pathology, whereas periacetabular osteotomy (PAO) is used to address dysplasia and instability. Indications to combine these 2 procedures include hip dysplasia and symptomatic instability with a concomitant symptomatic labral tear or the other symptomatic intra-articular pathology (i.e., loose body, chondral flap). The arthroscopic portion of the procedure allows repair of the injured labrum and close inspection of the hip joint, and the PAO addresses undercoverage and/or inappropriate version of the acetabulum. The open approach used in PAO also allows access to the peripheral compartment to debride a cam lesion, if present, and the subspine region is accessible to perform subspine decompression, if needed. In this technique, we highlight special considerations pertaining to hip arthroscopy that is performed in combination with a PAO. Hip arthroscopy is the first procedure that takes place in this combined case, and modifications to the standard hip arthroscopic technique can prevent unnecessary difficulty during the PAO that follows.http://www.sciencedirect.com/science/article/pii/S2212628717302311 |
| spellingShingle | Andrea M. Spiker, M.D. Kate R. Gumersell, P.A-C. Ernest L. Sink, M.D. Bryan T. Kelly, M.D. Modifications to the Hip Arthroscopy Technique When Performing Combined Hip Arthroscopy and Periacetabular Osteotomy Arthroscopy Techniques |
| title | Modifications to the Hip Arthroscopy Technique When Performing Combined Hip Arthroscopy and Periacetabular Osteotomy |
| title_full | Modifications to the Hip Arthroscopy Technique When Performing Combined Hip Arthroscopy and Periacetabular Osteotomy |
| title_fullStr | Modifications to the Hip Arthroscopy Technique When Performing Combined Hip Arthroscopy and Periacetabular Osteotomy |
| title_full_unstemmed | Modifications to the Hip Arthroscopy Technique When Performing Combined Hip Arthroscopy and Periacetabular Osteotomy |
| title_short | Modifications to the Hip Arthroscopy Technique When Performing Combined Hip Arthroscopy and Periacetabular Osteotomy |
| title_sort | modifications to the hip arthroscopy technique when performing combined hip arthroscopy and periacetabular osteotomy |
| url | http://www.sciencedirect.com/science/article/pii/S2212628717302311 |
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