**8. Significance of surgical anatomy in hip arthroscopy**

Surgical anatomy plays a pivotal role in hip arthroscopy as erroneous placement of portals can lead to injury to various important structures as described previously in the chapter. A surgeon should be well aware of various landmarks as well as vital structures around the hip joint while making portals and also while working through these portals.

One of the disastrous complication of hip arthroscopy is injury to sciatic nerve or femoral nerve and vessels. Various evidences suggest that these injuries can be prevented when proper technique in portal placement was used.

Another structure that is quite often injured during hip arthroscopy id lateral femoral cutaneous nerve of thigh (LFCN). LFCN is mostly injured during anterior portal placement. Injury to this nerve leads to loss of sensation on lateral aspect of thigh. The nerve is essentially vulnerable to laceration by a skin incision placed too deeply through the subcutaneous tissue.

Apart from these, if proper surgical anatomy is known, injury to various soft tissues around hip can also be minimized considerably. It is prudent for the surgeon to be aware of various anatomical structures around hip then only a safe and successful surgery can be performed.

**21**

**Author details**

Sachin Kumar Sharma\* and Hemant Mathur

provided the original work is properly cited.

Government Medical College and SSG Hospital Vadodara, Gujarat, India

© 2020 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/ by/3.0), which permits unrestricted use, distribution, and reproduction in any medium,

\*Address all correspondence to: docsachinsharma0@gmail.com

*Surgical Anatomy of Acetabulum and Biomechanics DOI: http://dx.doi.org/10.5772/intechopen.92330*

injuries can be avoided considerably.

Anatomy has always been a second wife for a surgeon. Its role cannot be neglected whether it is a minor or major surgery. When it comes to advanced surgeries like arthroscopy requiring meticulous techniques, surgical anatomy becomes more important. If a surgeon is well versed with surgical anatomy, many iatrogenic

**9. Conclusion**

**Conflict of interest**

**Source of funding**

None.

Self.

*Surgical Anatomy of Acetabulum and Biomechanics DOI: http://dx.doi.org/10.5772/intechopen.92330*
