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The Yoga Mat Technique in Postless Hip Arthroscopy.

Antonio Porthos Salas1, Eder Mendez-Perez2, Jacek Mazek3

  • 1Hip Arthroscopy Mexico, San Pedro Garza García, México.

Arthroscopy Techniques
|July 14, 2021
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Summary

A novel yoga mat technique enables hip arthroscopy without a perineal post, offering a safe and cost-effective alternative for treating femoroacetabular impingement syndrome and other hip conditions.

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Area of Science:

  • Orthopedic Surgery
  • Minimally Invasive Procedures

Background:

  • Hip arthroscopy commonly uses perineal posts for distraction, but this can lead to complications like nerve damage and genital injuries.
  • Perineal posts and disposable hip pads are expensive, particularly in Latin American countries, limiting access to these procedures.

Purpose of the Study:

  • To introduce and evaluate a novel, postless hip arthroscopy technique using a yoga mat for countertraction.
  • To provide a safe, reliable, and cost-effective alternative for hip distraction in arthroscopic surgery.

Main Methods:

  • A yoga mat technique was developed to provide countertraction for hip distraction during arthroscopy.
  • This method was applied to procedures including labral repair, reconstruction, and femoroacetabular impingement syndrome decompression.
  • Patient positioning and surgical adaptability to standard operating tables were assessed.

Main Results:

  • The yoga mat technique successfully achieved adequate hip distraction for intra-articular hip procedures.
  • Procedures like labral repair and femoroacetabular impingement decompression were performed reliably and reproducibly.
  • No Trendelenburg position was required, simplifying patient positioning and the overall procedure.

Conclusions:

  • The yoga mat technique offers a simple, safe, and reproducible method for postless hip arthroscopy.
  • This approach is a cost-effective alternative, especially beneficial in regions where specialized equipment is expensive.
  • The technique is adaptable to various surgical setups, enhancing its clinical utility.