The 'upper deck view' improves visualization during acetabuloplasty without chondro-labral detachment

Journal of Hip Preservation Surgery
Victor Ortiz-DecletBenjamin G Domb

Abstract

The 'upper deck' view is an arthroscopic perspective which visualizes the labral-osseous junction without detachment of the chondro-labral junction. The aim of this study was to evaluate the utility of the 'upper deck' view in preventing incomplete acetabuloplasty. Data were prospectively collected from September 2016 to November 2016 for all hip arthroscopies. We recorded the amount and clock-face of residual pincer-lesion acetabular bone resected using the 'upper deck' view. We noted whether this residual pincer-lesion acetabular bone was visible fluoroscopically, as well as the amount and clock-face of the overall acetabuloplasty. During the study period, 87 hip arthroscopies were performed; 50 met the inclusion criteria. Forty-six (92%) patients had residual pincer-lesion acetabular bone after completion of the acetabuloplasty resected from the bird's eye view. In all such cases the residual pincer-lesion acetabular bone was not visible under fluoroscopy and could only be detected using this specific view. The average maximum resection for the acetabuloplasty was 2.1 ± 0.9 and 1.4 ± 0.5 mm (P = 0.16) for resection of residual pincer-lesion acetabular bone. The 'upper deck' view provides the ability to decrease the risk of i...Continue Reading

References

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Mar 1, 2012·The American Journal of Sports Medicine·Benjamin DombItamar Botser
Jun 15, 2013·Arthroscopy Techniques·Timothy J JacksonBenjamin G Domb
Jan 28, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Daniel J HoppeOlufemi R Ayeni
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Dec 3, 2016·Arthroscopy Techniques·Carlos Suarez-AhedoBenjamin G Domb

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Citations

Oct 20, 2020·Journal of Hip Preservation Surgery·Ajay C LallDamian R Griffin
Jul 31, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Mitchell B MeghparaBenjamin G Domb
Jun 29, 2021·Journal of Hip Preservation Surgery·Bent Lund

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