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• W4366979380 abstract "Previous studies have demonstrated rates of perineal nerve and/or soft tissue complications as high as 46% following hip arthroscopy. Recently, the use of the Trendelenburg position and a post-less hip distraction setup has shown early promising outcomes with no reported groin-related complications. The purpose of this study was to compare groin-related nerve and soft tissue complications between patients undergoing hip arthroscopy with versus without the use of a perineal post. A prospective, single-surgeon cohort study was performed on all patients undergoing hip arthroscopy by the senior author between January 2020 and July 2021. The Pivot Guardian, post-free hip distraction system (Stryker, Kalamazoo, MI) was used at one center at which the senior author operates, and a Hana table (Mizuho, Union City, CA) with a perineal post (Smith & Nephew, Andover, MA) was used at another surgical location. A survey was completed by each patient at the first postoperative visit (7-10 days postoperatively) to determine if the patient had experienced any groin-related complications following surgery. These included groin numbness, sexual dysfunction, urinary dysfunction, and skin tears. For any patients with a positive survey response, the survey was repeated at each follow-up visit (6 weeks, 3 months, 6 months) until the symptoms. resolved. The rate and duration of groin-related complications was then compared between the two groups. A total of 62 patients were included in the study, 39 of whom underwent hip arthroscopy with a perineal post and 23 patients without a perineal post. No differences were found between the post and post-less groups in terms of age at surgery (32 ± 15 vs 27 ± 11 years, p = 0.12), sex (54% vs 52% female, p = 0.90), or body mass index (25 ± 7 vs 26 ± 6, p = 0.38). In addition, average traction time did not significantly differ between the groups (post: 53 ± 16 minutes, post-less: 52 ± 11 minutes, p = 0.77). The average Trendelenburg angle among the post-less patients was 12° (range 10-14°). We found that 9 (23%) patients in the perineal post group experienced groin numbness versus 0 (0%) in the post-less group (p = 0.02). On average, groin numbness lasted 5 ± 4 days in the perineal post group. Two patients in the perineal post group experienced sexual dysfunction for 5 days. Two patients in the post-less group experienced urinary dysfunction for an average of 5 days. Ten (26%) patients in the perineal post group experienced foot numbness versus 2 (9%) in the post-less group (p=0.10). No skin tears were reported in either group. In recent years, efforts have been made to decrease perineal complications among hip arthroscopy patients by adjusting intraoperative positioning and setup. Our study demonstrates fewer perineal complications among patients who underwent hip arthroscopy without a perineal post. Larger studies are warranted to corroborate these findings." @default.
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• W4366979380 date "2023-06-01" @default.
• W4366979380 modified "2023-09-25" @default.
• W4366979380 title "Podium Presentation Title: Groin-Related Complications After Hip Arthroscopy With vs. Without a Perineal Post- Prospective Study" @default.
• W4366979380 doi "https://doi.org/10.1016/j.arthro.2023.01.061" @default.
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