Access to the HIP: What’s new?

Starting from first attempt to access the hip in arthroscopy in 1931 by Burman to date, we have witnessed an evolution in different fields: certainly, the technological evolution, with improved instruments and even dedicated to the anatomical district, has also allowed the evolution of the surgical technique. On the other hand, the surgical technique has evolved over the years, initially starting from the pediatric field, studying the positioning, access and distraction technique with the aim of avoiding iatrogenic lesions, subsequently with the aim of treating different pathologies arthroscopically. Today we can claim to have achieved a wellestablished and safe arthroscopic technique but the continuous progress of studies, the better knowledge of the pathology and also the requests of patients force us to progress on the path of technical and technological evolution. Therefore, in recent years, several colleagues have proposed new hip access techniques rather than new arthroscopic portals. In this chapter the main innovative techniques and the new arthroscopic portals will be discussed.