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The Mayo Table Technique in Hip Arthroscopy

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1 The Mayo Table Technique in Hip Arthroscopy
Antonio Porthos Salas, M.D., Mauricio González-Campos, M.D., Alfredo D'Artagnan Salas-Pérez, M.S., Jose Luis Aurelio González- Bazaldua, M.D.  Arthroscopy Techniques  Volume 5, Issue 3, Pages e459-e463 (June 2016) DOI: /j.eats Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

2 Fig 1 Left operative hip and patient position in modified supine with the left foot over a cushioned mayo table (Productos Medicos, Monterrey, Mexico). The left foot is slightly in external rotation. Arthroscopy Techniques 2016 5, e459-e463DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

3 Fig 2 Modified supine position with the right hip in abduction and over a cushioned mayo table. Observe the boot clamp out the hip fracture table (MAQUET Gmbh, Rastatt, Germany) and the adducted hip fracture table (HFT) arm toward the contralateral and nonoperative hip. Arthroscopy Techniques 2016 5, e459-e463DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

4 Fig 3 Different hip fracture tables (old tables—top pictures; latest model tables—bottom pictures) and different mayo table stands. Observe that the technique is applicable in all cases without complexities. Arthroscopy Techniques 2016 5, e459-e463DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

5 Fig 4 Left operative hip with the modified supine position with the patient on a hip fracture table and portal placement marked with an (X): anterolateral (AL), peritrochanteric space portal (PSP), and mid-anterior portal (MAP). Arthroscopy Techniques 2016 5, e459-e463DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

6 Fig 5 Intraoperative right hip (RH) examination with maximal hip range of motion (HROM) to compare postopratively with the arthroscopic dynamic impingement test when performing the cam decompression. Arthroscopy Techniques 2016 5, e459-e463DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

7 Fig 6 The foot is out of the clamp of the fracture table. Observe the maximal external rotation of the hip/foot (MERH) to observe the most anterior and anteroinferior cam and the maximal internal rotation of the hip/foot (MIRH) to observe the most lateral and posterolateral cam. Arthroscopy Techniques 2016 5, e459-e463DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions


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