Hip Arthroscopy Utilizing the Supine Position

The purpose of this article is to demonstrate the merits of the supine position in arthroscopic surgery about the hip. Twenty consecutive patients successfully underwent arthroscopy by this technique. The procedure is performed on a standard fracture table with fluoroscopy. Traction is used to distract the hip for introduction of the instruments. Three standard arthroscopic portals are routinely used. Two portals are placed laterally over the superior aspect of the greater trochanter, and one is placed anteriorly. The procedure is effective and reproducible. It is user friendly to both the surgeon and the operating room staff. Additionally, the procedure uses existing operating room equipment with only minor modifications.