Arthroscopic Peripheral Compartment Iliopsoas Release for Iliopsoas Impingement After Primary Total Hip Arthroplasty

Arthroscopic Peripheral Compartment Iliopsoas Release for Iliopsoas Impingement After Primary Total Hip Arthroplasty

Authors

Paraschos OA, Harris WT, Owens JS, Lall AC, Domb BG

Journal

Arthroscopy Techniques, January 2023

Objective

To describe a minimally invasive arthroscopic technique for releasing the iliopsoas tendon in patients experiencing iliopsoas impingement after total hip arthroplasty (THA).

Key Findings

• Iliopsoas impingement can occur after THA, causing ongoing hip pain due to tendon tension.
• Causes include poor cup positioning, leg length changes, and spinal issues.
• After conservative treatments fail, arthroscopic iliopsoas release is an effective approach to avoid larger, riskier open procedures.
• The release is performed using fluoroscopy to guide the procedure in the peripheral compartment of the hip joint.

Conclusion

Arthroscopic iliopsoas release is a promising technique to address persistent hip pain after THA without the need for more invasive surgery.

What Does This Mean For Patients

If you experience persistent hip pain after hip replacement, this arthroscopic procedure may provide relief without the risks of larger, open surgeries.