Table 5.

Pearls and Pitfalls

	Pearls	Pitfalls
Hip arthroscopy	•Allows the addressing of intra-articular pathology and a close inspection of articular cartilage •No additional complications as a result of adding hip arthroscopy to PAO	Separate traction table must be used with separate prepping and draping (although a single table for both procedures has been described previously and in our technique)15
Arthroscopic cam resection	Arthroscopic cam resection can be performed immediately after central compartment work is performed	Adds additional time to the arthroscopic portion of the case, including additional fluid extravasation
Arthroscopic capsule closure	Arthroscopic capsule closure can be performed	Adds additional time to the arthroscopic portion of the case, including additional fluid extravasation
Arthroscopic dissection of iliocapsularis off capsule	Allows for direct visualization of the iliocapsularis and is easily addressed after capsule closure (Video 1)	•Arthroscopic capsule closure is recommended before iliocapsularis dissection to restore tension to the capsule •Adds additional time to the arthroscopic portion of the case, including additional fluid extravasation
PAO	A proven procedure to address hip dysplasia with long term outcomes reflecting a reversal in the natural history of hip dysplasia	Separate radiolucent table must be used with separate prepping and draping (though a single table for both procedures has been described previously and in our technique)15
Open cam resection	Open cam resection can be performed after completion of the PAO by performing a capsulotomy through the already exposed capsule	•Adds additional time to the open portion of the surgery •Accessing the cam completely can be challenging through a deep capsulotomy, and adequate retraction must be achieved
Open capsule closure	•Is performed at the completion of the case as part of closure •Using a curved needle (such as a UR-6) with retraction of the rectus femoris	•Adds additional time to the open portion of the surgery, •Accessing the capsulotomy can be challenging and requires retraction of the overlying structures.

PAO, periacetabular osteotomy.