We have a few minutes for a rapid-fire session, so we'll have Dr. Jovan Leskovski and Robby Westman come up here and Good questions for these presenters Yeah, come on up we don't have a We'll pass the mic around Well people people are coming up I See Guillaume yeah, yeah somebody comes with a failed hip arthroscopy from an outside center. What's your standard workup? You're getting any diagnostic injections CT MRI. What's your standard set for the failed hip arthroscopy? Yeah, so I think that's a very it's a very gray area So I think x-rays first evaluate residual FAI if residual FAI the decisions much easier, right? If the surgery just wasn't done adequately the first time we can correct that the harder ones are when everything looks, right? So I'll move to a controversial topic. So that hurts good a nice job talking about the Ilios oas I'd like to ask the entire panel to chime in on what percentage in your practice. Do you've linked in the Ilios oas? less than 1% 1 to 2% So zero He's gotten away from it as well Zero Okay, that's total hip replacement for Ilios oas impingement from dr. No Yeah, so pretty much across the board leave the so as alone Oh, yeah Cut-offs for sending somebody to a PAO surgeon 18 20 or 25 degrees. Yeah pick I Mean I sent somebody for to talk about a PAO 18 20 or 25 Andrea oh So I was just gonna see if I could pass the mic back here, sorry But yeah, I think you can't you can't base it off of the lateral set of jank Yeah, so let's talk about capsulotomy let's do another down the line of capsulotomy I want to know do you use one capsulotomy only or do you vary it based on pathology? Dr. Wurtz, please Interportal capsulotomy, you know 99% of time 97% of the time interportal no, capsulotomy interportal T capsulotomy greater than 99% of the time with a one and a half centimeter at max interportal and the T is always above the Zona close it every time Probably about 80% of time T capsulotomy 20% of the time interportal 90% T capsulotomy but similarly very small interportal portion and small T portion and then suspension sutures if I do an interportal Mmm, we like to use what we call the periportal capsulotomy and I do that probably 95% of my cases Interportal about 97% T capsulotomy about 3% By the way, I thought Josh was lying about the measurements of his interportal limb But he actually puts a ruler in there and measures it and sent the picture to us. So he's being truthful So I got one Robbie for Shane so Shane I think you did a great job with showing us how computer navigation help now for everybody at every different level in the room Would you comment on do we do this as novices and get rid of it? Do you use this your entire career? What are your thoughts on that? You know, I used to tell my fellows that it probably takes them a good Nine months or so before they feel pretty good about their x-rays without without navigation or computer vision With computer vision I would say that that kind of decreases that time to feeling pretty good about your x-rays for the novice surgeon and you could Probably decrease that that time to like three to six months or so So I think for the novice surgeon it makes the most impact I think for all the experienced surgeons I use it case by case if I've got like an extensive Cam deformity. I think it's really helpful for I like to have it, you know on standby for potentially any case But you know, I don't I would say I don't use it all the time All right, great, we're a little bit over time so we're gonna wrap up the rapid-fire and we'll carry on with the rest of the session

hip arthroscopy

failed cases

residual femoroacetabular impingement (FAI)

capsulotomy

computer navigation