The Mayo Table Technique in Hip Arthroscopy

Area of Science:

• Orthopedic Surgery
• Arthroscopy Techniques

Background:

• Hip fracture tables (HFTs) and hip distractors are crucial for reliable hip arthroscopy (HA).
• Early HA lacked adequate distraction devices, leading to challenges in dynamic impingement assessment.
• Rigid and cumbersome HFTs limited the evaluation of intraarticular hip disorders.

Purpose of the Study:

• To introduce the Mayo table technique for hip arthroscopy.
• To address limitations of existing hip fracture tables and distractors.
• To enable reliable dynamic assessment and treatment of femoroacetabular impingement.

Main Methods:

• Development of the Mayo table technique due to instrumentation limitations.
• Utilizing the technique to control maximal hip range of motion.
• Assessing cam deformity in all aspects (posterolateral, superolateral, anterior, anteroinferior).

Main Results:

• The Mayo technique allows complete assessment of cam impingement.
• Surgeons can identify impingement sites for targeted bony resection and decompression.
• Enables reliable HA even with older, less adaptable HFTs.

Conclusions:

• The Mayo table technique simplifies and enhances the reliability of hip arthroscopy.
• It overcomes the limitations of rigid HFTs and inadequate hip distractors.
• Facilitates comprehensive dynamic assessment and treatment of femoroacetabular impingement.