The Future of Hip Surgery: Post-less Arthroscopy & Image-Guided Precision

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Hip surgery is evolving fast—and that’s good news for patients. At HipPreservation.org, we stay on the cutting edge of innovation so you can get back to your active life with better outcomes, less pain, and a smoother recovery.

Let’s explore some of the newest techniques transforming hip preservation care, including post-less arthroscopy, 3D imaging, and non-op pain management strategies.

Post-less hip arthroscopy surgical table using traction system without perineal post, designed for safer, minimally invasive hip surgery — Copyright: Michelle Walker Photography

What Is Post-less Hip Arthroscopy?

In traditional hip arthroscopy, surgeons use a perineal post (a padded rod between the legs) to hold the hip joint in place while they work. But that post can cause:

Numbness or nerve irritation
Groin discomfort
Pressure injuries

Post-less hip arthroscopy is a modern advancement that eliminates the post entirely. Surgeons now use gravity and adjustable traction systems to maintain joint positioning. This approach, often called traction-less hip arthroscopy or hip arthroscopy without a post, helps reduce complications and improve patient comfort.

Compared to older techniques, post-less hip arthroscopy:

Minimizes nerve-related side effects
Reduces recovery discomfort
Supports better intraoperative mobility and access

👉 Learn more about how hip arthroscopy works.

3D CT-Based Surgical Planning: Precision Before the First Incision

Surgeons now use CT scans and digital mapping software to create a precise, 3D model of your hip joint before surgery.

With tools like HipMap and HipCheck, your care team can:

Identify cam or pincer deformities with millimeter accuracy
Plan how much bone to remove during osteoplasty
Reduce the risk of over- or under-correction

This leads to faster surgeries and fewer complications—especially in complex conditions like femoroacetabular impingement (FAI).

Intraoperative Navigation: GPS for Your Hip Surgeon

During surgery, some orthopedic surgeons now use real-time navigation systems, which function like GPS inside the operating room.

These tools enhance visibility and accuracy by displaying a live map of the hip joint and instrument positions. When paired with post-less hip arthroscopy, navigation tools ensure maximum joint access without compromising patient safety.

In procedures like PAO surgery, this technology helps guide complex bone cuts while protecting vital structures.

Non-Op Pain Protocols & Enhanced Recovery

In addition to surgical advances, new non-op pain management protocols help patients recover faster and with fewer narcotics.

These include:

Pre-op nerve blocks to reduce initial pain
Multimodal medications like acetaminophen, NSAIDs, and nerve agents
Ice therapy and continuous passive motion (CPM) machines

Patients who undergo post-less hip arthroscopy often experience smoother pain control with these protocols, making their recovery faster and more comfortable.

If you’re preparing for surgery, check out our rehab & recovery resources.

What This Means for You

If you're an athlete, performer, or just tired of chronic hip pain, post-less hip arthroscopy may be the game-changer you need. It’s a safer, more modern way to preserve your natural joint without the risks associated with traditional surgical traction.

Combined with image-guided planning and enhanced recovery techniques, post-less arthroscopy offers: