Hip Arthroscopy - My Worst Day in the Operating Room in 2020: What Happened and How it Changed My Practice (2021 Annual Meeting)-Hip Arthroscopy - My Worst Day in the Operating Room in 2020: What Happened and How it Changed My Practice-Mather

Hip Arthroscopy - My Worst Day in the Operating Room in 2020: What Happened and How it Changed My Practice-Mather

Video Transcription

Video Summary

The speaker recounts a distressing early-career incident involving a patient who mistakenly believed she was sexually assaulted during hip surgery, triggered by normal postoperative numbness and exposure inherent in the procedure. This case highlights the importance of thorough preoperative counseling and setting clear patient expectations about risks and exposure during surgery. The discussion emphasizes the prevalence and impact of perineal nerve and soft tissue injuries caused by traditional traction posts used during hip arthroscopy. The speaker advocates for transitioning to post-free hip arthroscopy systems, which reduce these complications, improve ergonomics for surgeons, and enable complex procedures, including bilateral surgeries. They describe techniques like venting the hip joint to reduce traction force and share practical tips to minimize nerve pressure and maintain patient safety. Overall, the session stresses enhanced communication with patients, careful surgical technique, and adopting innovations to mitigate risks and improve outcomes in hip arthroscopy.

Asset Caption

Dr. Richard Mather

Keywords

hip arthroscopy

post-free systems

perineal nerve injury

preoperative counseling

traction-related complications