Hip arthroscopy: Lateral approach to patient positioning, set-up, and traction

Abstract

The lateral approach to hip arthroscopy was developed in the early 1980s by James M. Glick, M.D., and Thomas G. Sampson, M.D., as a response to poor access and reproducibility in accessing the central compartment of the hip. The procedure involves performing hip arthroscopy with the patient in the lateral decubitus position using a lateral distraction device, using common portals to the supine position, and allows access to all areas of the hip, including the central and peripheral compartments and the peritrochanteric space. This technique is indicated for all procedures in hip arthroscopy and has been widely accepted and allows for effective and reproducible results. The preference to perform hip arthroscopy in this position is based on surgeon's training, expertise, and comfort.