Key result
The modified mid-anterior portal facilitates comprehensive hip arthroscopy for femoroacetabular impingement while minimizing iatrogenic acetabular chondral damage and nerve injury.
Describes a modified mid-anterior portal for hip arthroscopy that facilitates comprehensive surgery without interportal exchange while minimizing iatrogenic damage.
May minimize iatrogenic injury during FAI hip arthroscopy; leaves open prospective validation versus standard portals.
The modified mid-anterior portal is a utilitarian hip arthroscopy working portal that permits dual-portal comprehensive surgery for femoroacetabular impingement and related chondrolabral procedures without the need for interportal exchange. Its distal location facilitates labral reparative and reconstructive procedures while minimizing iatrogenic acetabular chondral damage. The relatively lateral location permits instrument navigation not only along the anterosuperior acetabular rim and anterolateral proximal femur typically required for acetabuloplasty and femoroplasty but even to the posterior regions of the hip in cases of global pincer femoroacetabular impingement and posterior extensions of cam morphology and the anteromedial proximal femur while avoiding direct injury to the lateral femoral cutaneous nerve.
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Matsuda et al. (2014) studied Femoroacetabular impingement. Modified mid-anterior portal was evaluated. The modified mid-anterior portal facilitates comprehensive hip arthroscopy for femoroacetabular impingement while minimizing iatrogenic acetabular chondral damage and nerve injury.
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