Certain patient variables can be used to estimate the required distraction force and inclination angle with this method.Ĭomplications hip arthroscopy hip distraction perineal post pudendal neurapraxia. As well as being a surgeon at the University of Colorados Sports Medicine clinic, he has been an extreme-sports. He is heavily involved in cutting-edge research in this field and develops new surgical techniques to treat athletes with hip pathologies. The use of the Trendelenburg position and a specially designed distraction setup during hip arthroscopy allows for safe hip distraction without a perineal post, thereby eliminating groin-related soft tissue and nerve complications. No one knows this better than Omer Mei-Dan. Mei-Dan specializes in hip preservation surgery consisting of hip arthroscopy, cartilage regeneration, femur, and acetabulum realignment techniques. The rate of deep venous thrombosis was 2 in 1000. No groin-related complications occurred among the entire cohort of patients, including soft tissue or nerve-related complications. 0001), and lateral center edge angle ( P <. He currently practices at Rise and is affiliated with UCHealth University of. The most important variables in determining initial force for this cohort of patients were, in order of magnitude, sex ( P <. Omer Mei-Dan, MD is a orthopedic surgery specialist in Boulder, CO. The mean initial distraction force necessary was 90 ± 28 lb, which decreased to 65 ± 24 lb by 30 minutes after traction initiation ( P <. The mean ± SD Trendelenburg angle used among the subset of 309 hips was 11° ± 2°. In a subset of 309 hips (n = 281 patients), the degrees of Trendelenburg as well as the distraction force were analyzed. Mei-Dan is an orthopedist in Boulder, Colorado and is affiliated with multiple hospitals in the area, including Childrens Hospital Colorado and. With this technique, enough resistance is created by gravity and friction between the patient's body and the bed to allow for successful hip distraction without the need for a perineal post. In the operating room, the patient's feet were placed in traction boots in a specifically designed distraction setup, and the operative table was placed in varying degrees of Trendelenburg. Dr, Omer Mei-Dan BASE jumps into the Cave of Swallows, a 1,200-foot-deep site in Mexico. Demographic variables, hip pathology, and lateral center edge angle were recorded for each case. We prospectively analyzed a consecutive cohort of 1000 hips presenting to a dedicated hip preservation clinic all patients had hip pain and were subsequently treated with hip arthroscopy. To assess the safety of a technique for hip distraction without the use of a perineal post. This course is led by Omer Mei-Dan, MD, at the CU School of Medicine Department of Orthopedics, Sports Medicine Section., powered by the Localist Community. Hip arthroscopy has traditionally been performed with a perineal post, resulting in various groin-related complications, including pudendal nerve neurapraxias, vaginal tears, and scrotal necrosis.
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