Hip Arthroscopy of the Central and Peripheral Compartments by the Lateral Approach

Ilizaliturri, Víctor M.; G, Mangino; Valero, Fernando S; Camacho-Galindo, Javier

doi:10.1097/01.bto.0000152167.94084.94

Cited by 19 publications

(7 citation statements)

References 12 publications

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“…Central compartment arthroscopy was performed using an anterolateral, posterolateral and direct anterior portal technique described elsewhere with traction applied. 16,17 Peripheral compartment arthroscopy was performed without traction 17 with the hip flexed to 40˚, abducted and externally rotated; the arthroscope was introduced through the anterolateral portal to the anterior fem- Image-intensifier anteroposterior view of a left hip with a cam deformity secondary to Perthes' disease. The arthroscope is the lower instrument to the right of the image with the shaver tip immediately above it.…”

Section: Methodsmentioning

confidence: 99%

Arthroscopic treatment of femoroacetabular impingement secondary to paediatric hip disorders

Ilizaliturri¹,

Nossa-Barrera²,

Acosta-Rodriguez³

et al. 2007

The Journal of Bone and Joint Surgery. British volume

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Open reduction of the prominence at the femoral head-neck junction in femoroacetabular impingement has become an established treatment for this condition. We report our experience of arthroscopically-assisted treatment of femoroacetabular impingement secondary to paediatric hip disease in 14 hips in 13 consecutive patients (seven women, six men) with a mean age of 30.6 years (24 to 39) at the time of surgery. The mean follow-up was 2.5 years (2 to 4). Radiologically, 13 hips had successful restoration of the normal geometry and only one had a residual deformity. The mean increase in the Western Ontario McMasters Osteoarthritis Index for the series at the last follow-up was 9.6 points (4 to 14). No patient developed avascular necrosis or sustained a fracture of the femoral neck or any other complication. These findings suggest that femoroacetabular impingement associated with paediatric hip disease can be treated safely by arthroscopic techniques.

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Section: Methodsmentioning

confidence: 99%

Arthroscopic treatment of femoroacetabular impingement secondary to paediatric hip disorders

Ilizaliturri¹,

Nossa-Barrera²,

Acosta-Rodriguez³

et al. 2007

The Journal of Bone and Joint Surgery. British volume

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“…The lateral synovial fold can be identified arthroscopically with a 30°arthroscope viewing from the anterior portal or an anterior accessory portal. No capsular or bony resection must be performed posterior to the lateral synovial fold [20][21][22]30].…”

Section: Avascular Necrosismentioning

confidence: 99%

“…Patient positioning is the first step in hip arthroscopy and two different methods are used today: the supine and lateral positions [5,16,20]. Both methods of patient positioning are used in the treatment of FAI [17,22,28,31].…”

Section: Hip Arthroscopy General Techniquementioning

confidence: 99%

Complications of Arthroscopic Femoroacetabular Impingement Treatment: A Review

Ilizaliturri

2009

Clinical Orthopaedics &Amp; Related Research

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232

139

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Recent developments in hip arthroscopy techniques and technology have made it possible in many cases to avoid open surgical technique for treating pincer-type and cam-type femoroacetabular impingement and rather treating it arthroscopically. Early reports suggest favorable results using arthroscopic techniques. The frequency of complications reported for hip arthroscopy for all indications is generally less than 1.5%, suggesting the procedure is safe. Little information is available on complications directly related to the arthroscopic treatment of femoroacetabular impingement. Failure to recognize and treat or incompletely reshape impingement deformities may be the most frequent cause for a second hip arthroscopy and redébridement of the deformity. There has been no report of avascular necrosis related to the arthroscopic treatment of femoroacetabular impingement; only one femoral neck fracture after arthroscopic cam remodeling has been reported in a large series of patients. Other clinical concerns include hip dislocation secondary to extensive capsulotomies or overresection of the anterior acetabular rim in the case of pincer impingement.

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“…29 Arthroscopy of the peripheral compartment is increasingly undertaken and is certainly indicated when impingement from osteophytes is suspected. 30 Hip arthroscopy can be performed with the patient placed in the lateral or supine position [31][32][33] with traction applied using a standard distractor and a perineal post. Image-intensifier screening is essential to ensure safe entry of the guide wire and trocars into the joint.…”

Section: Arthroscopic Surgery For Femoroacetabular Impingementmentioning

confidence: 99%