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http://www.nsmoc.com/ With this basic technique, the peripheral compartment is addressed by first removing the instrumentation. The traction is released and the hip is flexed approximately 45 degrees. This relaxes the anterior capsule and opens up the space in the peripheral compartment. There are also other methods for accessing the periphery. For example, correcting impingement, generous capsulotomies allow direct transition between the central and peripheral compartments. With this technique, using the original anterolateral incision the spinal needle is then directed onto the anterior neck of the femur. The needle pops through the capsule and the guide wire should pass freely to the medial capsule indicating that it is within the peripheral compartment. The 5 mm canula assembly is advanced taking the usual care not to disrupt the guide wire. The 30 degree arthroscope with the inflow attached is inserted. The first two principle landmarks are the horizontally oriented medial synovial fold above the anterior neck and the vertically oriented fibers. A distally based ancillary portal is established with pre-positioning performed under arthroscopic and fluoroscopic control. There is a broad safe-zone in which to work and other prortals can be used as needed. This is true for the peripheral and other portals can be used as needed. This is true for the peripheral and the central compartments. For example, with central work supplementary portals may be needed for labral repair. These are basic steps that can be useful for fundamental access and serve as a foundation for for more advanced arthroscopic procedures.