AANA Hip Arthroscopy - September 2024-Hip Access_ Distraction, Fluoroscopy, and Portal Placement

Hip Access_ Distraction, Fluoroscopy, and Portal Placement

Video Transcription

Video Summary

Dr. Winston Gwathe discusses safe and effective hip arthroscopy setup, focusing on OR tables, positioning, traction methods, and fluoroscopy techniques. He emphasizes the importance of proper portal placement to avoid neurovascular damage, recommending anterior lateral, mid-anterior, and sometimes post-lateral portals. Fluoroscopy guidance and careful needle technique help ensure accurate joint access without harming the labrum or cartilage. Postless traction tables and muscle relaxation improve procedure safety. Dr. Gwathe highlights avoiding complications by using specific bevel orientations during needle insertion and closing portals properly. He encourages learning from experts and offers ongoing support for surgical questions.

Keywords

hip arthroscopy

portal placement

fluoroscopy guidance

traction methods

surgical safety