APEX Managing Modern Athletic Hip Injuries-Online Didactic (September 2021)-Hip Access: Distraction, Fluoroscopy, and Portal Placement

Hip Access: Distraction, Fluoroscopy, and Portal Placement

Video Transcription

Video Summary

In this video, Dr. Winston Gwathmey from the University of Virginia discusses the set-up, positioning, portals, and access for hip arthroscopy. He explains that a suitable OR table should allow for traction, manipulation of the hip, fluoroscopy, and be safe for long cases. Different tables, such as the fracture table and HANA table, as well as traction attachments, can be used. Dr. Gwathmey also discusses the importance of fluoroscopy in matching pre-operative and intraoperative x-rays, distraction techniques, post-cystic arthroscopy, and anesthesia. He then focuses on portal placement, considering external landmarks, safety zones, and the use of different portals. He provides tips for safe entry into the joint and emphasizes the importance of avoiding labral injury. Dr. Gwathmey concludes by expressing gratitude and offering his availability for questions. No specific credits were mentioned. (211 words)

Asset Caption

Winston Gwathmey, M.D.

Keywords

hip arthroscopy

OR table

fluoroscopy

portal placement

labral injury