{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T06:38:40Z","timestamp":1792478320061,"version":"4.5.0"},"reference-count":27,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Hip arthroscopy is the gold standard for treating femoroacetabular impingement syndrome and acetabular labral tears. Portal establishment and suture anchor placement are crucial steps for ensuring the success of the surgery. However, because of the complex anatomy, deep location, and narrow joint space of the hip joint, the learning curve for establishing the hip arthroscopy approach and placing suture anchors for labral repair is arduous, with a high risk of iatrogenic cartilage and labral damage. This article describes a solution that applies computer\u2010assisted navigation to these 2 key steps. Based on the patient's preoperative computed tomography data, this technique enables the reconstruction of an individualized 3\u2010dimensional skeletal model, on which the clockface target of the anterolateral portal at the acetabular rim and the placement sites of suture anchors for labral repair are precisely planned. Intraoperatively, high\u2010precision spatial registration between the preoperative virtual plan and the patient's actual anatomical structure is achieved via 2\u2010dimensional to 3\u2010dimensional image registration. With the assistance of the navigation system, the surgeon can accurately establish the arthroscopic portal in a single attempt without fluoroscopy and safely perform acetabular suture anchor placement for subsequent labral suture.<\/jats:p>","DOI":"10.1002\/atn2.70317","type":"journal-article","created":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T05:40:11Z","timestamp":1792474811000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Computer\u2010Assisted Hip Arthroscopy for Portal Establishment and Suture Anchor Placement"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9258-4415","authenticated-orcid":false,"given":"Lingxing","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Orthopedics Chinese PLA General Hospital  Beijing People's Republic of China"},{"name":"Graduate School of Chinese PLA General Hospital  Beijing People's Republic of China"},{"name":"Department of Orthopedics 923 Hospital of the Joint Logistic Support Force of the Chinese PLA  Guangxi People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming","family":"Hao","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Chinese PLA General Hospital  Beijing People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingxin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Chinese PLA General Hospital  Beijing People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoqi","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Chinese PLA General Hospital  Beijing People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhanghua","family":"Tong","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Chinese PLA General Hospital  Beijing People's Republic of China"},{"name":"Graduate School of Chinese PLA General Hospital  Beijing People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jixiang","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Chinese PLA General Hospital  Beijing People's Republic of China"},{"name":"Graduate School of Chinese PLA General Hospital  Beijing People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Long","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Chinese PLA General Hospital  Beijing People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6513-8946","authenticated-orcid":false,"given":"Chunbao","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Chinese PLA General Hospital  Beijing People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"2383","DOI":"10.1177\/03635465231180305","article-title":"Ten\u2010year survivorship, outcomes, and sports participation in athletes after primary hip arthroscopy for femoroacetabular impingement syndrome","volume":"51","author":"Domb BG","year":"2023","journal-title":"Am J Sports Med"},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"5852","DOI":"10.3390\/jcm11195852","article-title":"Conservative vs. surgical management for femoro\u2010acetabular impingement: A systematic review of clinical evidence","volume":"11","author":"Anzillotti G","year":"2022","journal-title":"J Clin Med"},{"key":"e_1_2_7_4_1","first-page":"232596712412777","article-title":"A multicenter analysis of 3 decades of hip arthroscopy: Evolving techniques and growing patient volumes from 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JS","year":"2011","journal-title":"Arthroscopy"},{"key":"e_1_2_7_11_1","doi-asserted-by":"crossref","first-page":"e1083","DOI":"10.1016\/j.asmr.2022.03.005","article-title":"Ultrasound can determine joint distraction during hip arthroscopy but fluoroscopic\u2010guided portal placement is superior","volume":"4","author":"Trasolini NA","year":"2022","journal-title":"Arthrosc Sports Med Rehabil"},{"key":"e_1_2_7_12_1","doi-asserted-by":"crossref","first-page":"2114","DOI":"10.1016\/j.arthro.2020.02.017","article-title":"Iatrogenic articular cartilage injury in arthroscopic hip and knee videos and the potential for cartilage cell death when simulated in a bovine model","volume":"36","author":"Compton J","year":"2020","journal-title":"Arthroscopy"},{"key":"e_1_2_7_13_1","doi-asserted-by":"crossref","first-page":"1280","DOI":"10.1016\/j.arthro.2018.10.118","article-title":"What makes suture anchor use safe in hip arthroscopy? A systematic review of techniques and safety profile","volume":"35","author":"Shah A","year":"2019","journal-title":"Arthroscopy"},{"key":"e_1_2_7_14_1","doi-asserted-by":"crossref","first-page":"e1689","DOI":"10.1016\/j.eats.2022.06.003","article-title":"Anchor arthropathy caused by cartilage penetration: An approach to revision hip arthroscopy with removal of problematic anchors","volume":"11","author":"Sabetian PW","year":"2022","journal-title":"Arthrosc Tech"},{"key":"e_1_2_7_15_1","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1093\/jhps\/hnv001","article-title":"Anchor\u2010induced chondral damage in the hip","volume":"2","author":"Matsuda DK","year":"2015","journal-title":"J Hip Preserv Surg"},{"key":"e_1_2_7_16_1","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.spinee.2022.10.006","article-title":"Robotic and navigated pedicle screws are safer and more accurate than fluoroscopic freehand screws: A systematic review and 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intertrochanteric femoral fractures","volume":"21","author":"Wang D","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"key":"e_1_2_7_20_1","doi-asserted-by":"crossref","first-page":"1272","DOI":"10.1177\/03635465221074338","article-title":"Accuracy of computer navigation\u2010assisted arthroscopic osteochondroplasty for cam\u2010type femoroacetabular impingement using the model\u2010to\u2010image registration method","volume":"50","author":"Abe K","year":"2022","journal-title":"Am J Sports Med"},{"key":"e_1_2_7_21_1","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1016\/j.arthro.2024.01.015","article-title":"Computer\u2010assisted arthroscopic cam resection","volume":"40","author":"Fenn TW","year":"2024","journal-title":"Arthroscopy"},{"key":"e_1_2_7_22_1","doi-asserted-by":"crossref","first-page":"5151","DOI":"10.1016\/j.arthro.2025.07.048","article-title":"Computer navigation\u2010assisted osteochondroplasty may improve accuracy of resection planning with limited 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