Setting Sail in Hip Arthroscopy: The 'Rudder Technique' for Spinal Needle Access Through the Mid-anterior Portal
Authors
McCarroll TR, Kahana-Rojkind AH, Keane JC, Schab AR, Kuhns BD, Domb BG
Background
One of the challenges of hip arthroscopy is achieving precise, atraumatic access to the joint. Misguided access can complicate the procedure and cause injury. This article introduces a method for improving access using the "rudder technique."
Methods
The "rudder technique" leverages the beveled edge of the spinal needle to steer through soft tissue, offering enhanced control during insertion through the mid-anterior portal.
Key Findings
- Offers more controlled and efficient access.
- Reduces the risk of iatrogenic injury during joint entry.
- Enhances precision, particularly in the early phase of the procedure.
Conclusion
This simple yet effective technique improves joint access during hip arthroscopy and is especially helpful for surgeons refining their skills or encountering complex anatomy.
What Does This Mean For Patients
This refined method of entering the hip joint during surgery improves safety and efficiency, reducing potential trauma and enhancing overall surgical outcomes.