Hip Endoscopy in Total Hip Arthroplasty: Endoscopic Management of Iliopsoas Tendon Impingement After Hip Arthroplasty

Benedetto, P. Di; Giardini, Piero; Causero, Araldo

doi:10.1007/978-981-16-3488-8_8

Cited by 4 publications

(8 citation statements)

References 28 publications

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“…These findings are in concordance with other studies showing improvement in various PROMs after arthroscopic tenotomy for iliopsoas impingement secondary to THA [8, 15, 37]. Viamont‐Guerra et.al [37] reported results on 48 patients treated with arthroscopic tenotomy and found statistical significant improvement postoperatively of both the modified Harris Hip Score (mHHS) and Harris Hip Score (HHS).…”

Section: Discussionsupporting

confidence: 89%

“…Guicherd et.al [15] in a prospective series with 64 patients reported improvement of OHS (Oxford Hip Score), patient satisfaction and anterior hip pain at a mean follow‐up of 8 months. Di Benedetto et.al [8] reported a series of 13 patients with significant improvement HHS and Medical Research Council (MRC) scale at a mean follow‐up of 10 months.…”

Section: Discussionmentioning

confidence: 99%

“…It has previously been suggested that iliopsoas impingement (IPI) is an underdiagnosed adverse event in patients with groin pain after THA, accounting for around 4% of all underlying reasons for groin pain after THA [1, 4, 8]. Patients with iliopsoas impingement often present with groin pain that increases on exertion, as in pain when walking upstairs or raising oneself from a seated position.…”

Section: Introductionmentioning

confidence: 99%

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Arthroscopic iliopsoas tenotomy after total hip arthroplasty: safe method for the right patient

et al. 2023

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Purpose To evaluate the outcome of arthroscopic treatment for iliopsoas impingement after total hip arthroplasty (THA) 2 years after surgery using patient reported outcomes (PROM). Methods In this study 12 patients (13 hips) were included from a local hip arthroscopy registry. Patients completed web-based PROMs preoperatively and at a minimum of 2 years postoperatively. The PROMs included the International Hip Outcome Tool short version (iHOT-12), the Copenhagen Hip and Groin Outcome Score (HAGOS), the European Quality of Life-5 Dimensions Questionnaire (EQ-5D), the Hip Sports Activity Scale (HSAS) for physical activity level, the Visual Analog Scale (VAS) for overall hip function and a single question regarding overall satisfaction with the surgery. Results The mean age was 64.4 years (±15.1SD), mean body mass index (BMI) was 26.6 (±4.3SD), mean follow-up time was 49.8 months (±25SD). Comparing PROMs preoperatively with 2-year follow up showed an improvement for many of the PROMs used. The PROMs scores were iHOT-12 (24.9 vs 34.5, p = 0.13), HAGOS subscales (symptoms 38.2 vs 54.5, p = 0.05; pain 36 vs 53, p = 0.04; sport 14.1 vs 35.1, p = 0.03; daily activity 31 vs 47.5, p = 0.04; physical activity 21.8 vs 24, p = 0.76; quality of life 24 vs 35, p = 0.03), EQ-VAS (57.9 vs 58, p = 0.08), EQ-5D (0.34 vs 0.13, p = 0.07) and VAS for overall hip function (43.1 vs 46.2, p = 0.14). In total, 10 out of the 12 patients (83%) were satisfied with the intervention. Conclusion Patients undergoing surgery for iliopsoas impingement after previous THA showed improved self-reported hip function where most patients were satisfied with treatment.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Arthroscopic iliopsoas tenotomy after total hip arthroplasty: safe method for the right patient

et al. 2023

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“…These findings are in agreement to previous published studies on endoscopic tenotomy, that have reported satisfaction rates of 71–93%, mHHS between 75–89 points, and complication rates of 2–10% [2, 3, 17, 26, 41]. Studies on arthroscopic tenotomy have reported mean post‐tenotomy HHS between 82–92 points and few to no complications and revisions [12, 14, 24, 30, 32, 34, 38, 46]. Additionally, studies on open tenotomy have also reported good clinical outcomes, with mean post‐tenotomy HHS between 80–86 points, but higher complication rates of 17%, and revision rates of up to 13% [7, 13].…”

Section: Discussionsupporting

confidence: 90%

Satisfactory mid‐term clinical outcomes of endoscopic tenotomy for iliopsoas tendinopathy following total hip arthroplasty

Erard,

Viamont‐Guerra,

Bonin

2024

Knee surg. sports traumatol. arthrosc.

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PurposeTo report 5‐year outcomes of endoscopic iliopsoas tenotomy in patients with iliopsoas tendinopathy following total hip arthroplasty (THA) and determine whether clinical scores are associated with cup position.MethodsPatients who underwent endoscopic iliopsoas tenotomy for iliopsoas tendinopathy following THA (2014–2017) were contacted. Indications for endoscopic iliopsoas tenotomy after THA were groin pain during active hip flexion, exclusion of other causes of groin pain, and no pain relief after 6 months of conservative treatment. Pretenotomy cup inclination and anteversion were measured on radiographs; axial and sagittal cup overhang were measured on computed tomography (CT) scans. Oxford hip score (OHS), modified Harris hip score (mHHS), and groin pain were assessed.ResultsThe initial cohort comprised 16 men (17 hips) and 31 women (32 hips), aged 60.7 ± 10.6 years. Cup inclination and anteversion were, respectively, 46.2 ± 6.2° and 14.6 ± 8.4°, while axial and sagittal cup overhang were, respectively, 4.4 ± 4.0 mm and 6.9 ± 4.5 mm. At ≥5 years follow‐up, four hips underwent cup and stem revision, two underwent isolated cup revision and one underwent secondary iliopsoas tenotomy. OHS improved by 23 ± 10 and mHHS improved by 31 ± 16. Posttenotomy groin pain was slight in 20.0%, mild in 17.5% and moderate in 12.5%. Regression analyses revealed that net change in mHHS decreased with sagittal cup overhang (β = –3.1; 95% confidence interval [CI] = –4.6 to –1.7; p < 0.001), but that there were no associations between cup position and net change in OHS.ConclusionsEndoscopic iliopsoas tenotomy provides good mid‐term clinical outcomes in patients with iliopsoas tendinopathy following THA. Furthermore, improvements in mHHS were found to decrease with increasing sagittal cup overhang, in cases for which adequate preoperative imaging was available.Level of EvidenceLevel IV.

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“…After conservative management options fail, surgical alternatives such as open or arthroscopic psoas tenotomy and revision hip arthroplasty can reliably improve the patient’s symptoms. Open surgical procedures however carry a higher risk of infection, accrue longer hospital and recovery periods,2 and arthroscopic procedures have increased risk of neurovascular damage. The use of US is gaining traction in orthopedic procedures, with some utilizing its benefits for placement of portal placement in hip arthroscopies 3.…”

mentioning

confidence: 99%

Ultrasound-guided Tenotomy and Osteectomy for the Treatment of Iliopsoas Impingement Post-total Hip Replacement

White

Thalluri

Cabot

et al. 2021

Techniques in Orthopaedics

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Hip Endoscopy in Total Hip Arthroplasty: Endoscopic Management of Iliopsoas Tendon Impingement After Hip Arthroplasty

Cited by 4 publications

References 28 publications

Arthroscopic iliopsoas tenotomy after total hip arthroplasty: safe method for the right patient

Arthroscopic iliopsoas tenotomy after total hip arthroplasty: safe method for the right patient

Satisfactory mid‐term clinical outcomes of endoscopic tenotomy for iliopsoas tendinopathy following total hip arthroplasty

Ultrasound-guided Tenotomy and Osteectomy for the Treatment of Iliopsoas Impingement Post-total Hip Replacement

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