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Published on: February 27, 2018
Peroneal padding: an alternative to a peroneal post in hip arthroscopy
Kam Fu James Kong1, Ping Chien, Jimmy Wai Kwok Wong
1Department of Orthopaedic Surgery, University of Hong Kong, Queen Mary Hospital, Hong Kong, People's Republic of China. jkfkong@hkucc.hku.hk
A novel peroneal padding technique offers an effective alternative to the traditional peroneal post for hip arthroscopy. This method ensures adequate hip joint distraction and optimal femur positioning during surgical procedures.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
Background:
- Hip arthroscopy is a common diagnostic and therapeutic procedure for hip conditions.
- The use of a peroneal post with a fracture table is standard for femur lateralization and traction.
- Achieving adequate hip joint distraction can be challenging without a peroneal post.
Purpose of the Study:
- To present a simple peroneal padding technique as an alternative to the conventional peroneal post.
- To demonstrate the efficacy of peroneal padding in achieving femur lateralization and hip joint distraction.
Main Methods:
- A cushioning jelly bag is wrapped around the peroneal post, secured with tape and bandages.
- The patient's femur is positioned against this padding for lateralization.
- Femur traction is then applied to achieve hip joint distraction.
Main Results:
- The peroneal padding technique effectively mimics the function of a peroneal post.
- This method allows for adequate lateralization and optimal positioning of the femur.
- The technique facilitates good hip joint distraction during hip arthroscopy.
Conclusions:
- Peroneal padding is a simple, effective technique for hip arthroscopy.
- It provides adequate femur lateralization and positioning, similar to a peroneal post.
- This method aids in achieving necessary hip joint distraction for surgical access.
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