Page 9 - The Pink Hip Kit Handbook

Risks & Complications Documented and Reported by Orthopedic Surgeons Hip Distraction With A Perineal Post Challenges “As the frequency of hip arthroscopy and preservation procedures continues to rise, recent evidence suggests that complication rates are significantly underreported.” “While many of these complications are transient, the hip preservation community is in search of a safe postless distraction technique.” (Kollmorgen et al.) “Femoral and pelvic fractures are frequently associated in multiple injured patients and the conventional surgical procedure involves the use of a traction table using a perineal post to allow traction of the lower limb. However, through this type of procedure is very difficult to avoid complications such as displacement of the pubic rami or injuries to pelvic soft tissues, sometimes already damaged from the trauma.” (Alessandro Aprato, MD) “If a patient does develop a complication, such as groin numbness or irritation to the skin about the inner thigh or around the genital or groin region. These conversations are difficult, even if you’ve had the pre-op conversation describing what potentially can happen. No patient thinks it’s really going to happen to them and no provider likes to have those conversations.” (Justin J. Mitchell, MD) Nerve Injuries Soft Tissue Injuries 9