An orthopedic surgeon and extreme sports athlete, Mei-Dan, 42, is a BASE jumper one of an estimated 1,500 to 3,000 worldwide who jump from the fixed platforms for which the. 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. Omer Mei-Dan has jumped off more cliffs than he can count not to mention helicopters, skyscrapers and bridges. Paul Sagiv Goals of wound closure after hip arthroscopy include Omer Mei-Dan adequate cessation of soft tissue iatrogenic dead space and application of. 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. 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 <. The most important variables in determining initial force for this cohort of patients were, in order of magnitude, sex ( P <. As well as being a surgeon at the University of Colorados Sports Medicine clinic, he has been an extreme-sports. The mean initial distraction force necessary was 90 ± 28 lb, which decreased to 65 ± 24 lb by 30 minutes after traction initiation ( P <. No one knows this better than Omer Mei-Dan. 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. 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. Mei-Dan is an orthopedist in Boulder, Colorado and is affiliated with multiple hospitals in the area, including Children's Hospital Colorado and UCHealth University of Colorado. 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. 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. 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. Gideon Mann, Naama Constantini, Meir Nyska, Eran Dolev, Vidal Barchilon, Shay Shabat, Alex Finsterbush, Omer Mei-Dan, and Iftach Hetsroni Jones Fracture.

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