The 'Upper Deck View' Improves Visualization During Acetabuloplasty Without Chondro-labral Detachment
Authors: Ortiz-Declet V, Mu BH, Yuen LC, Maldonado DR, Chen AW, Lall AC, Domb BG
DOI: 10.1093/jhps/hnz022
Background
- Acetabuloplasty reshapes the acetabular rim to treat femoroacetabular impingement. Incomplete resection may lead to persistent symptoms or revision surgery.
- The "upper deck view" is introduced as an arthroscopic visualization technique to improve detection of residual acetabular bone without detaching the chondro-labral complex.
Methods
Prospective evaluation of 87 hip arthroscopies using the upper deck view to assess residual acetabular bone resection adequacy.
Key Findings
- Residual acetabular bone was identified in 92% of cases only visible with the upper deck view, missed by standard fluoroscopy.
- This technique improved completeness of acetabuloplasty and minimized risks of undertreatment.
Conclusions
The upper deck view is a valuable adjunct that enhances visualization during acetabuloplasty and reduces risk of incomplete bone resection.
What Does This Mean for Providers?
- Incorporating the upper deck view into acetabuloplasty can improve surgical precision by revealing residual bone not visible with standard imaging.
- This technique can potentially decrease revision rates due to incomplete acetabuloplasty and improve patient outcomes.
- Providers should consider training in this visualization method to optimize intraoperative assessment.