2023 ISAKOS Biennial Congress ePoster
Current Trends In The Use Of Postless Hip Arthroscopy: A Survey Of The International Society For Hip Arthroscopy Membership
Matthew J. Kraeutler, MD, Houston, TX UNITED STATES
Sydney M Fasulo, MD, Paterson, NJ UNITED STATES
Joshua D Harris, MD, Sugar Land, TX UNITED STATES
Omer Mei-Dan, MD, Boulder, CO UNITED STATES
Anthony Scillia, Birmingham, AL UNITED STATES
St. Joseph's University Medical Center, Paterson, NJ, UNITED STATES
FDA Status Cleared
Summary
Although use of a perineal post is still a more common setup technique amongst hip arthroscopists, approximately one-third of surgeons use a postless technique, often due to perineal complications with a post.
ePosters will be available shortly before Congress
Abstract
Purpose
The purpose of this study was to assess the current international trends in the use of postless hip arthroscopy among hip preservation specialists.
Methods
An anonymous 12-item survey was sent by e-mail to all members of the International Society for Hip Arthroscopy (ISHA) in January 2022. Surgeons were asked various questions regarding their current use of post-assisted/postless hip arthroscopy, if they had changed their setup technique during their career and the reason for change, as well as their perceived rate of pudendal nerve and/or perineal soft tissue injuries using their current technique.
Results
A total of 100 surveys were completed from 431 ISHA members (23.2%). Sixty-one percent of the surgeons currently use a perineal post, while 33% use a postless technique. Seventy-five percent of perineal post users and 97% of postless users self-reported a rate of pudendal nerve and/or soft tissue injury of <1%. Among 38 respondents who indicated changing their technique at some point, 50% reported doing so due to pudendal nerve and/or soft tissue complications. Twenty-one of 34 surgeons (62%) who switched from a perineal post to a postless setup indicated they have noticed a decrease in the rate of pudendal nerve and/or soft tissue complications.
Conclusions
Although use of a perineal post is still a more common setup technique amongst hip arthroscopists, approximately one-third of surgeons use a postless technique. Surgeons who have switched to a postless technique often did so due to perineal complications with the majority noticing a decrease in these complications with use of postless hip arthroscopy.