Forget the Greater Trochanter! Hip Joint Access With the 12 O'clock Portal in Hip Arthroscopy
Authors
Maldonado DR, Chen JW, Walker-Santiago R, Rosinsky PJ, Shapira J, Lall AC, Domb BG
DOI: 10.1016/j.eats.2019.01.017
Background
In hip arthroscopy, the greater trochanter is commonly used as a reference point to establish the anterolateral portal. This study proposes an alternative approach using the anterosuperior iliac spine (ASIS) as a more reliable and easily palpable reference for the 12 o'clock portal.
Methods
The study outlines a step-by-step method for establishing the 12 o'clock portal using the ASIS. The approach involves using fluoroscopy and palpation for accurate placement, with emphasis on positioning the patient correctly.
Key Findings
The 12 o'clock portal technique allows for more accurate and reproducible hip joint access, avoiding complications associated with using the greater trochanter.
Conclusions
The 12 o'clock portal offers a safer and more reliable method for hip joint access in arthroscopy, ensuring minimal harm and optimal results for patients.
What Does This Mean for Patients
If you're undergoing hip arthroscopy, the use of this more reliable portal technique may reduce complications and improve the overall precision of your surgery.