Operative Table

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Evolution of Operative Table

Hip arthroscopy is widely regarded as the most difficult joint to perform arthroscopy on, and demands optimal patient positioning, surgical instrumentation and, most importantly, surgeon skill and experience. Traditionally, labral repair and/or reconstruction, when performed arthroscopically, were done on a traction table. Through the use of traction and a perineal post, surgeons were able to distract the hip joint enough to enter it with their arthroscopic instruments.

This distraction however, came at a cost. Postoperative pudendal neuralgia, sexual dysfunction, genital numbness and genitourinary symptoms were extremely common postoperatively, with up to 50% of patients experiencing one of the above symptoms. While these adverse effects often subsided within a few months, 20% of patients still have symptoms up to one year postoperatively.

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