Endoscopic Iliopsoas Fractional Lengthening After Total Hip Arthroplasty: Surgical Technique
Authors
Quesada-Jimenez R, Kahana-Rojkind AH, Flynn ME, Wallace IA, Patel DH, Domb BG.
Background
Some patients continue to have front-of-the-hip pain after total hip replacement. One possible cause is irritation of the iliopsoas tendon, which helps flex the hip.
Methods
This article describes a minimally invasive surgical technique that can be used when other treatments have failed. The procedure releases part of the iliopsoas tendon using small instruments and a camera.
Key Findings
- A minimally invasive technique is described
- The procedure targets the tendon near the muscle to reduce pain
- Designed to preserve hip strength as much as possible ď‚·Used only when imaging and injections confirm the diagnosis
Conclusion
This surgical technique may help relieve persistent hip pain after hip replacement caused by iliopsoas tendon irritation.
What Does This Mean For Patients
If pain continues after hip replacement and is caused by irritation of a hip tendon, a minimally invasive procedure may help reduce pain while preserving strength.