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Proximal Anterolateral Accessory Portal Use Improves Peripheral Compartment Access and Capsular Management with T-Capsulotomy

One of the primary goals of hip arthroscopy for femoroacetabular impingement (FAI) syndrome is precise removal of pathologic FAI morphology while protecting and restoring the normal soft tissue anatomy. Adequate visualization is a key foundation of precise removal of FAI morphology and varying types...

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Autores principales: Christian, Robert A., Cabell, Grant H., Jarvis, D. Landry, Mather, Richard C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9984722/
https://www.ncbi.nlm.nih.gov/pubmed/36879866
http://dx.doi.org/10.1016/j.eats.2022.10.004
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author Christian, Robert A.
Cabell, Grant H.
Jarvis, D. Landry
Mather, Richard C.
author_facet Christian, Robert A.
Cabell, Grant H.
Jarvis, D. Landry
Mather, Richard C.
author_sort Christian, Robert A.
collection PubMed
description One of the primary goals of hip arthroscopy for femoroacetabular impingement (FAI) syndrome is precise removal of pathologic FAI morphology while protecting and restoring the normal soft tissue anatomy. Adequate visualization is a key foundation of precise removal of FAI morphology and varying types of capsulotomies are frequently used to achieve necessary exposure. Anatomic and outcomes studies have influenced an increasing appreciation for repairing these capsulotomies. Thus one of the central technical challenges of hip arthroscopy is achieving both goals of capsule preservation and adequate visualization. Various techniques have been described, including suture-based capsule suspension, portal placement, and T-capsulotomy. The following technique describes how the proximal anterolateral accessory portal can be added to a capsule suspension and T-capsulotomy technique to improve visualization and facilitate repair.
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spelling pubmed-99847222023-03-05 Proximal Anterolateral Accessory Portal Use Improves Peripheral Compartment Access and Capsular Management with T-Capsulotomy Christian, Robert A. Cabell, Grant H. Jarvis, D. Landry Mather, Richard C. Arthrosc Tech Technical Note One of the primary goals of hip arthroscopy for femoroacetabular impingement (FAI) syndrome is precise removal of pathologic FAI morphology while protecting and restoring the normal soft tissue anatomy. Adequate visualization is a key foundation of precise removal of FAI morphology and varying types of capsulotomies are frequently used to achieve necessary exposure. Anatomic and outcomes studies have influenced an increasing appreciation for repairing these capsulotomies. Thus one of the central technical challenges of hip arthroscopy is achieving both goals of capsule preservation and adequate visualization. Various techniques have been described, including suture-based capsule suspension, portal placement, and T-capsulotomy. The following technique describes how the proximal anterolateral accessory portal can be added to a capsule suspension and T-capsulotomy technique to improve visualization and facilitate repair. Elsevier 2023-01-18 /pmc/articles/PMC9984722/ /pubmed/36879866 http://dx.doi.org/10.1016/j.eats.2022.10.004 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Christian, Robert A.
Cabell, Grant H.
Jarvis, D. Landry
Mather, Richard C.
Proximal Anterolateral Accessory Portal Use Improves Peripheral Compartment Access and Capsular Management with T-Capsulotomy
title Proximal Anterolateral Accessory Portal Use Improves Peripheral Compartment Access and Capsular Management with T-Capsulotomy
title_full Proximal Anterolateral Accessory Portal Use Improves Peripheral Compartment Access and Capsular Management with T-Capsulotomy
title_fullStr Proximal Anterolateral Accessory Portal Use Improves Peripheral Compartment Access and Capsular Management with T-Capsulotomy
title_full_unstemmed Proximal Anterolateral Accessory Portal Use Improves Peripheral Compartment Access and Capsular Management with T-Capsulotomy
title_short Proximal Anterolateral Accessory Portal Use Improves Peripheral Compartment Access and Capsular Management with T-Capsulotomy
title_sort proximal anterolateral accessory portal use improves peripheral compartment access and capsular management with t-capsulotomy
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9984722/
https://www.ncbi.nlm.nih.gov/pubmed/36879866
http://dx.doi.org/10.1016/j.eats.2022.10.004
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