Page 18 - The Pink Hip Kit Handbook

“Achieving Post-Free Distraction in Hip Arthroscopy With a Pink Pad Patient Positioning Device Using Standard Hip Distraction Tables” “With the evolution and rapid growth of hip arthroscopy, attention needs to be paid to the iatrogenic groin injuries caused during the procedure. While many of these injuries are transient, they are completely avoidable by adopting a postless arthroscopic technique. Postless distraction, while a novel technique, is being marketed with a high cost for new proprietary bed attachments. The pink pad technique presented here allows for post- free distraction at the cost of most disposable large perineal pads on the market.” “Pudendal nerve palsy as well as scrotal and labial skin damage are devastating iatrogenic complications of using a perineal post. Current published options for postless distraction add a significant cost in an already overburdened system and require the hip arthroscopist to adapt to a new table, new leg position, and new technique. Our technique offers surgeons the comfort of using their current technique with the caveat that Trendelenburg may be necessary in select patients.” Arthroscopy Techniques Kollmorgen et al. Volume 8, Issue 4, Pages e363-3368 46 Page(s): 632-641, April 2019 Clinical Applications & Experience “Hip Distraction Without A Perineal Post, A Prospective Study Of 1000 Hip Arthroscopy Cases” “Compression neurapraxias and soft tissue damage to the perineum have been well documented as complications directly related to the use of a perineal post during hip arthroscopy. This study is the first to report the use of a new technique for patient positioning during hip arthroscopy without the need for a perineal post at any point during positioning. No complications related to the traction technique were reported in 1000 prospectively followed hip arthroscopies. This procedure limits the complications of intraoperative pudendal nerve palsy and soft tissue damage to the groin and allows safe, adequate, reproducible access to the hip joint.” AJSM Volume: 46 issue: 3, page(s): 632-641 Mei-Dan et al. Article first published online: December 15, 2017; Issue published: March 1, 2018 18