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

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.