Acetabular labral tears are a common cause of athletic hip pain in adolescent and young adult populations. Often secondary...
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.
The Stryker Pivot Guardian™ is the first-ever table designed specifically for hip arthroscopy. It attaches to a typical operating room table, and utilizes the Trendelenburg position and the patient’s own bodyweight to distract the hip joint. There is no pudendal post to compress the genitalia and surrounding nerves.
In addition, the table design allows for much easier intraoperative imaging, which can decrease surgical time. Recent studies have shown a near total elimination of pudendal neuralgia and genitourinary complaints through the use of the Stryker Pivot Guardian™.