Arthroscopic Iliopsoas Fractional Lengthening
Authors
Maldonado DR, Lall AC, Battaglia MR, Laseter JR, Chen JW, Domb BG
DOI: 10.2106/JBJS.ST.18.00020
Background
Iliopsoas fractional lengthening (IFL) is a procedure performed to treat painful internal snapping of the hip, where the iliopsoas tendon snaps over the femoral head. This typically occurs when conservative treatments like physical therapy or medications do not alleviate the pain.
Methods
The procedure is done through hip arthroscopy with the patient positioned on a traction table. The iliopsoas tendon is accessed via several portals, and a complete transverse cut is made in the tendinous portion of the iliopsoas tendon to relieve the snapping.
Key Findings
Arthroscopic IFL is effective for treating internal snapping, with the benefit of minimal invasiveness. It can be combined with other hip surgeries when necessary, such as acetabular procedures or labral repairs.
Conclusions
Arthroscopic IFL is a viable surgical option for patients with internal snapping, offering relief when conservative treatments fail. It is a minimally invasive approach, reducing recovery times and complications.
What Does This Mean for Patients
If you experience painful hip snapping unresponsive to physical therapy or medications, arthroscopic iliopsoas fractional lengthening could provide a minimally invasive solution with a faster recovery compared to open surgery.