Advances in Hip Arthroscopy (AANA20)-Hip Arthroscopy_ My Observations and Innovations-Dr. Victor M. Ilizaliturri Jr., M.D.

Hip Arthroscopy_ My Observations and Innovations-Dr. Victor M. Ilizaliturri Jr., M.D.

Video Transcription

Video Summary

This presentation discusses the complex anatomy of the hip joint and emphasizes precise, safe techniques for hip arthroscopy to avoid cartilage and soft tissue damage. The hip’s deep location, vital neurovascular surroundings, and intricate capsule necessitate careful portal establishment guided by fluoroscopy and arthroscopy. The use of beveled needles, traction, and air distension helps safely access the joint. Advances in instrument design, such as blunt, slotted cannulas, minimize intraarticular injury risks. Capsulotomy techniques (simple, T, and H) are outlined, highlighting their impact on the iliofemoral ligament, essential for hip stability. In difficult cases with deformities or stiffness, capsulotomy facilitates access and deformity correction while preserving ligament integrity. The evolving surgical approaches and instrumentation focus on protecting cartilage and soft tissue restraints, aiming for reproducible, safe access and improved clinical outcomes in hip arthroscopy.

Keywords

hip arthroscopy

capsulotomy techniques

hip joint anatomy

surgical instrumentation

cartilage protection