Fluoroscopically Guided Hip Capsulotomy: Effective or Not? A Cadaveric Study

• DOI: 10.1097/bot.0b013e3181e93cbe
• Publication Date: 2011-03-11T04:59:46Z
• Authors: Aric A Christal; Lisa A Taitsman; Robert P Dunbar; James C Krieg; Sean E Nork
• Keywords: Cadaveric spasm; Neurovascular bundle

The purpose of this study was to examine the efficacy a fluoroscopically guided hip capsulotomy.Ten fresh-frozen paired cadaveric hips were injected under fluoroscopic guidance with saline sufficient generate an intra-articular pressure greater than 58 mmHg. monitored continuously using percutaneous transducer. A limited lateral approach proximal femur performed by one two senior orthopaedic trauma surgeons. Using scalpel guidance, each surgeon made attempt at anterior capsulotomy. Changes in recorded throughout procedure. specimens then dissected measure extent capsulotomy as well distance from nearby neurovascular structures.A rapid and substantial decrease seen all hips. mean postcapsulotomy 8.4 capsulotomies averaged 15.1 mm length. None attempts lasted longer 90 seconds. average between lateral-most branch femoral nerve 19.5 mm. artery on 40.3 There no correlation side which its or proximity structures.Fluoroscopically through small incision appears be safe, effective, expedient method, may substantially reduce after minimally displaced neck fractures.