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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 6, 793-796.
doi: 10.1302/0301-620X.86B6.14426  
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery
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Complications associated with traction on the hip during arthroscopy

G. A. Elsaidi, DO, Resident Orthopaedic Surgery1; D. S. Ruch, MD, Associate Professor1; W. D. Schaefer, MD, Orthopaedic Surgeon2; K. Kuzma, BS, Medical Student1; and B. P. Smith, PhD, Associate Professor1

1 Department of Orthopaedics, Wake Forest University School of Medicine, Medical Centre Boulevard, Winston-Salem, North Carolina 27157, USA.
2 Fayetteville Orthopedic Clinic, 3308 Melrose Street, Fayetteville, North Carolina, USA.

Correspondence should be sent to Dr G. A. Elsaidi.

We studied 16 hips (eight cadaver specimens) using arthrography, arthroscopy and anatomical dissection, under incremental traction of up to a maximum of 64 kg, to determine the relationship of the portals to nearby neurovascular structures.

The distance of each arthroscopic portal (anterior, anterolateral, and posterolateral) to the associated neurovascular structures was measured after the application of 23 kg of traction.

Traction of up to 64 kg on the lower limb failed to produce evidence of labral or capsular injury. Furthermore, traction of 23 kg resulted in little change in the position of adjacent neurovascular structures relative to the standard arthroscopic portals.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General