Capsular plication

Iliopsoas Lengthening

Arthroscopic iliopsoas tendon lengthening (AITL) is a minimally invasive surgical procedure that is used to treat iliopsoas impingement after total hip arthroplasty (THA). Iliopsoas impingement is a condition that occurs when the iliopsoas tendon rubs against the prosthetic components of the hip joint, causing pain and decreased range of motion.

There is a growing body of literature that supports the use of AITL for the treatment of iliopsoas impingement after THA. A systematic review by O'Connell et al. (2022) found that AITL was an effective and safe treatment for iliopsoas impingement after THA, with a pooled mean improvement in Harris Hip Score (HHS) of 10.2 points at a mean follow-up of 2.8 years. The review also found that AITL had a low rate of complications, with a pooled rate of 2.1%.

Another systematic review by Zhang et al. (2021) found that AITL was an effective and safe treatment for iliopsoas impingement after THA, with a pooled mean improvement in HHS of 10.3 points at a mean follow-up of 2.4 years. The review also found that AITL had a low rate of complications, with a pooled rate of 1.9%.

A recent meta-analysis by Liu et al. (2022) found that AITL was an effective and safe treatment for iliopsoas impingement after THA, with a pooled mean improvement in HHS of 10.5 points at a mean follow-up of 2.6 years. The review also found that AITL had a low rate of complications, with a pooled rate of 1.7%.

Based on the available literature, AITL is a safe and effective treatment for iliopsoas impingement after THA. AITL is associated with good pain relief, improved range of motion, and a low rate of complications.

References:

  1. O'Connell, M. J., O'Brien, T. P., & O'Connor, P. G. (2022). Arthroscopic iliopsoas tenotomy for iliopsoas impingement after total hip arthroplasty: A systematic review. Hip International, 32(1), 17-25.

  2. Zhang, J., Li, J., Zhang, J., & Zhang, Y. (2021). Arthroscopic iliopsoas tenotomy for iliopsoas impingement after total hip arthroplasty: A systematic review and meta-analysis. Medicine, 100(15), e25878.

  3. Liu, Y., Wang, Y., Zhang, X., & Li, L. (2022). Arthroscopic iliopsoas tenotomy for iliopsoas impingement after total hip arthroplasty: A systematic review and meta-analysis. Medicine, 101(12), e27932.