| Abstract: |
A number of unique features of the hip made arthroscopic access more difficult than in other joints. Appreciation of these features has fueled a number of innovations which gave rise to the evolution and acceptance of this procedure. As the pathology within the hip has been identified, specialized equipment has been created to allow manipulation, excision, and ablation.Hip arthroscopy can be done both in the supine and lateral position. Three standard portals are usually sufficient to visualize the central and peripheral compartments of the joint; they are the anterior, anterolateral and posterolateral portals. It has been shown to be safe and effective, and to have a very low complication rate. By far the most common complication is transient neuropraxia, generally understood to be traction-related. Careful attention to patient positioning, accurate portal placement, and proper arthroscopic technique, including judicious fluid management, can all contribute to limiting the complication rate to an absolute minimum.
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