Scope Essentials 2024-Access and Portals

Video Transcription

Video Summary

Dr. Winston Guafi from the University of Virginia discusses hip arthroscopy access, pearls, and pitfalls. He emphasizes the importance of an appropriate operating room table for traction, manipulation, fluoroscopy, and safety in long cases. Various table options like fracture, HANA, and postless are explored. Dr. Guafi delves into tips for fluoroscopy alignment and joint distraction to access and visualize the hip properly. With a focus on safe portal placement, he highlights the anterior lateral portal, mid-anterior portal, dollar portal, and postero-lateral portal. Detailed guidance on the first portal creation, labral safety, and cannula placement is provided. Troubleshooting tips for distractions, poor visualization, and addressing synovitis are also shared. Dr. Guafi invites questions and further discussion on hip access techniques.

Asset Caption

Frank Winston Gwathmey, Jr., M.D.

Keywords

hip access

arthroscopy procedures

operating room table

fluoroscopy

intraoperative fluoroscopy

hip arthroscopy

fluoroscopy alignment

portal placement

labral safety