Does Iliopsoas Lengthening Adversely Affect Clinical Outcomes After Hip Arthroscopy? A Multicenter Comparative Study
Authors
Maldonado DR, Krych AJ, Levy BA, Hartigan DE, Laseter JR, Domb BG
Journal: Am J Sports Med. 2018 Sep;46(11):2624-2631.
DOI: 10.1177/0363546518785966
PMID: 30074842
Background
Iliopsoas fractional lengthening (IFL) is a procedure used during hip arthroscopy for internal snapping and femoroacetabular impingement (FAI). This study compares outcomes for patients who underwent hip arthroscopy with or without IFL.
Methods
A multicenter retrospective review of patients who underwent hip arthroscopy for FAI and labral tears with or without IFL. Outcomes were assessed using various patient-reported outcomes (PROs) at a minimum 2-year follow-up.
Key Findings
Both groups showed significant improvements in PROs. The IFL group had similar outcomes to the control group in terms of pain relief, function, and patient satisfaction, with no significant differences in revision rates or conversions to total hip arthroplasty (THA).
Conclusions
Iliopsoas lengthening during hip arthroscopy for FAI and labral tears does not negatively affect clinical outcomes and is a safe procedure in appropriately selected patients.
What Does This Mean for Patients
Patients experiencing internal snapping of the hip may benefit from iliopsoas lengthening without compromising long-term outcomes.
DOI: 10.1177/0363546518785966