Expert Consensus on Trendelenburg Position Postless Hip Distraction Technique in Hip Arthroscopy

Postless hip distraction technique is a novel traction method for hip arthroscopy developed in recent years. Studies have shown that, compared with the traditional post hip distraction technique, it can effectively solve perineal complications, lower the technical threshold of hip arthroscopy, and improve patients' postoperative satisfaction. The standardization of this technique is expected to promote the advancement and popularization of hip arthroscopy. To this end, this Consensus identified 17 questions of the greatest clinical concern that were selected through systematic literature retrieval and evidence quality evaluation, and in combination with clinical practice, using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system and the Reporting Items for Practice Guidelines in Healthcare (RIGHT), and 20 evidence-based medical recommendations were finally formulated, aiming to improve the standardization and scientific nature of the postless hip distraction technique and provide a basis for improving the quality of patient-centered medical services.