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Expert Consensus on Trendelenburg Position Postless Hip Distraction Technique in Hip Arthroscopy.
Yaoting Wang1, Lingxing Jiang1, Jiakai Sun1
1Department of Sports Medicine, Senior Department of Orthopedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, China.
Orthopaedic Surgery
|April 21, 2026
Summary
The postless hip distraction technique offers a novel approach to hip arthroscopy, reducing complications and improving patient satisfaction. Standardization of this method is key to advancing hip arthroscopy procedures.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
Background:
- Traditional post hip distraction in arthroscopy can lead to complications.
- A novel postless hip distraction technique has emerged.
- This technique shows promise in improving outcomes and patient experience.
Purpose of the Study:
- To standardize the postless hip distraction technique for hip arthroscopy.
- To address key clinical concerns through evidence-based recommendations.
- To enhance the scientific basis and clinical application of this novel technique.
Main Methods:
- Systematic literature retrieval and evidence quality evaluation.
- Incorporation of clinical practice insights.
- Application of GRADE and RIGHT methodologies.
- Formulation of 20 evidence-based recommendations.
Main Results:
- Identification of 17 clinically significant questions regarding the technique.
- Development of 20 evidence-based recommendations for standardization.
- The technique effectively resolves perineal complications.
- Lowered technical threshold and improved postoperative satisfaction reported.
Conclusions:
- Standardization of the postless hip distraction technique is crucial for its advancement.
- Recommendations aim to improve the scientific nature and standardization of the technique.
- This work provides a foundation for enhancing patient-centered medical services in hip arthroscopy.
