Percutaneous Intraarticular Peripheral Access Technique for Hip Arthroscopy
Authors: Carbone A, Harris WT, McCarroll TR, Kufta AY, Walsh EG, Domb BG
DOI: 10.1016/j.eats.2024.103232
Background
Traditional hip arthroscopy requires axial distraction to access the joint, which can be difficult in patients with challenging hip anatomy and may increase risk of injury.
Methods
This technical note presents a novel percutaneous intraarticular peripheral access technique designed to improve visualization and reduce trauma during hip arthroscopy, especially for complex anatomy cases.
Key Findings
- Enables safer and more precise joint access in difficult hip morphology.
- Reduces the need for aggressive distraction.
- Minimizes trauma to the labrum and femoral head.
Conclusion
This technique offers a safer, more efficient alternative to traditional access methods for hip arthroscopy, benefiting patients with complex hip structures.
What Does This Mean for Providers?
This technical note describes a percutaneous intraarticular peripheral access approach that facilitates safer and more precise entry into the hip joint, particularly in patients with complex anatomy. By reducing the need for aggressive traction, the technique minimizes iatrogenic damage to the labrum and femoral head, enhances visualization, and improves surgical efficiency in challenging hip arthroscopy cases.