An Arthroscopic Technique to Enhance Visualization During Total Hip Arthroplasty

Bonutti, Peter M.; McGrath, Mike S.; Johansson, Henning R.; Ulrich, Slif D.; Mont, Michael A.

doi:10.1016/j.arth.2009.01.011

« Previous Next »The Journal of Arthroplasty
Volume 25, Issue 2 , Pages 216-218, February 2010

An Arthroscopic Technique to Enhance Visualization During Total Hip Arthroplasty

Peter M. Bonutti, MD
- The Bonutti Clinic, Effingham, Illinois
- Reprint requests: Michael A. Mont, MD, Rubin Institute of Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD 21215.
Mike S. McGrath, MD
- Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland
Henning R. Johansson, BS
- Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland
Slif D. Ulrich, MD
- Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland
Michael A. Mont, MD
- Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland
- Reprint requests: Michael A. Mont, MD, Rubin Institute of Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD 21215.

Received 17 April 2008; accepted 10 January 2009. published online 06 February 2009.

Abstract

This technical note describes the use of an arthroscope or endoscope to enhance visualization during minimally invasive total hip arthroplasty. The arthroscope/endoscope is used to verify seating of the components and to look for potential impingements, loose bodies, or fractures. This technique was successfully used to identify and address 2 bony or soft tissue impingements as well as a calcar fracture that might otherwise have been missed. Although further study is necessary, we believe that this technique might reduce postoperative complications and improve clinical outcomes of total hip arthroplasty.

Keywords: arthroscope, hip, total hip arthroplasty, minimally invasive surgery