Hip Arthroscopy With and Without A Perineal Post: A Comparison of Early Postoperative Pain

Overview

Journal Arthroscopy

Specialty Orthopedics

Date 2021 Apr 3

PMID 33812030

Citations 9

Authors

Andrew L Schaver

Nolan Mattingly

Natalie A Glass

Michael C Willey

Robert W Westermann

Affiliations

Soon will be listed here.

Abstract

Purpose: To compare postoperative pain and early recovery after hip arthroscopy with and without a perineal post for joint distraction.

Methods: We retrospectively reviewed a consecutive series of patients who underwent hip arthroscopy before and after the adoption of a postless technique. Patients who underwent concurrent periacetabular or femoral osteotomy were excluded. Demographic information, procedure variables, and visual analog scale (VAS) pain scores were recorded. Analgesic medications given were converted to morphine milligram equivalents (MME) for comparison. Uni- and multivariate analyses were conducted to compare total MME, postoperative pain, and time to discharge between groups.

Results: One hundred patients were in each group. The overall age (mean ± standard deviation) was 26.5 ± 9.9 years (Post [P]: 57 females; No Post [NP]: 68 females). Total operative time (P 100.4 ± 17.9 minutes vs NP 89.1 ± 25.5 minutes, P = .0004), traction time (P 45.8 ± 10.3 minutes vs NP 40.9 ± 11.1 minutes, P = .0017), and operating room time (P 148.8 ± 19.3 minutes vs NP 137.3 ± 25.8 minutes, P = .0005) were found to be shorter in the NP group. Total MME, and final VAS pain scores in the PACU were similar between both groups (MME, P = .1620; VAS, P = .2139). Time to discharge was significantly shorter in the NP group (P 207.2 ± 58.8 vs NP 167.5 ± 47.9, P < .0001). Patient age (≥25 years) (65.2 ± 18.1 vs 59.8 ± 15.7 [MME], P = .0269) and elevated body mass index (≥25) (65.1 ± 17.1 vs 59.3 ± 16.4 [MME], P = .0164) were factors associated with greater total MME consumption. Female sex was associated with higher postoperative VAS pain scores (FM 4.1 ± 1.6 vs M 3.4 ± 1.8 P = .0027).

Conclusions: Adoption of the postless technique did not result in prolonged operating room or operative time. Overall, both groups had similar postoperative pain, however, the time from surgery to hospital discharge was shorter in the postless group.

Level Of Evidence: III, retrospective comparison study.

Citing Articles

The Perineal Post for Hip Arthroscopy Is Dead-Or at Least It Should Be.

Kraeutler M Arthrosc Sports Med Rehabil. 2025; 7(1):101068.

PMID: 40041844 PMC: 11873454. DOI: 10.1016/j.asmr.2024.101068.

The Physics of Postless Hip Arthroscopy.

Wininger A, Kraeutler M, Goble H, Cho J, Mei-Dan O, Harris J Arthrosc Tech. 2024; 13(10):103077.

PMID: 39479047 PMC: 11519879. DOI: 10.1016/j.eats.2024.103077.

Postless Distraction Technique With No Additional Equipment in Hip Arthroscopy.

Wang Y, Yu H, Wang L, Zhang J, Wang M, Li C Arthrosc Tech. 2024; 13(6):102963.

PMID: 39036412 PMC: 11258706. DOI: 10.1016/j.eats.2024.102963.

Patient Positioning for Postless Hip Arthroscopy.

Woodard D, Richards J, Knake K, DeFroda S Arthrosc Tech. 2024; 13(6):102969.

PMID: 39036395 PMC: 11258711. DOI: 10.1016/j.eats.2024.102969.

Maximizing the Benefits of Postless Hip Arthroscopy: On-Off Traction Technique During Labral Repair to Restore the Labral Suction Seal.

Ray L, Hassan M, Fader R Arthrosc Tech. 2024; 13(5):102941.

PMID: 38835468 PMC: 11144804. DOI: 10.1016/j.eats.2024.102941.

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