# Traction-Free Arthroscopy Using an Inside-Out Technique for Treating Femoroacetabular Impingement Syndrome

## TL;DR

This paper introduces a new traction-free hip arthroscopy technique to safely treat femoroacetabular impingement without using traction, reducing injury and radiation risks.

## Contribution

A novel inside-out traction-free arthroscopy technique is introduced to minimize traction-related injuries and radiation exposure.

## Key findings

- The traction-free technique avoids perineal nerve damage associated with traditional traction methods.
- The approach reduces fluoroscopic radiation exposure for both patients and surgeons.
- The method maintains procedural efficacy while enhancing safety during hip arthroscopy.

## Abstract

Hip arthroscopy is widely used for treating conditions such as femoroacetabular impingement (FAI) and labral tears. Traditionally, traction has been considered essential during hip arthroscopy to provide adequate working space for procedures in the central and peripheral compartments. However, perineal posts, commonly used with traction boots, have been associated with iatrogenic injuries, including perineal nerve damage. Although modified traction-free techniques have been introduced, they still carry risks of traction-related complications. To address these limitations, we developed a traction-free hip arthroscopy technique designed to minimize the risk of traction-related injuries while maintaining procedural efficacy. This approach reduces exposure to fluoroscopic radiation for both patients and surgeons, enhancing safety and efficiency during hip arthroscopy.