AI Article Synopsis
- Hip replacement surgery effectively relieves pain and enhances mobility, but some patients may experience post-surgery groin pain due to iliopsoas impingement (IPI), which can be hard to diagnose.
- This study evaluates the success rates, revision rates, and complications of arthroscopic and endoscopic surgery for treating IPI, providing insights into their effectiveness and risks.
- The research found that both surgical techniques lead to positive outcomes for patients, with arthroscopic methods yielding slightly better results, but both methods carry mild risks like pain and infection.
Article Abstract
Background: Hip replacement surgery is highly effective in relieving pain and improving mobility in patients with various hip conditions. However, some patients develop groin pain after surgery, often due to iliopsoas impingement (IPI), which can be challenging to diagnose. Conservative treatments are initially recommended, but when these are not effective, surgical options may be considered. This study aims to evaluate the clinical outcomes, success and failure rates, revision rates, and complications associated with arthroscopic and endoscopic surgery for IPI, thereby providing a comprehensive understanding of the effectiveness and risks of these surgical interventions.
Materials And Methods: A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, including a thorough search of five main databases: PubMed, Scopus, Embase, Medline, and Cochrane. Eligible articles were meticulously evaluated according to predefined criteria for levels of evidence (LoE), with retrospective studies assessed using the Coleman Methodology Score (mCMS). This systematic review was registered in the International Prospective Registry of Systematic Reviews (PROSPERO).
Results: Among the 16 included studies, 431 patients with 434 hips underwent either endoscopic or arthroscopic tenotomy. Both techniques showed favorable outcomes, with arthroscopic tenotomy demonstrating slightly higher success rates than endoscopic tenotomy. Common complications included mild pain and occasional infections, with recurrence observed in some cases. Both techniques offer direct visualization of prosthetic components and potential preservation of psoas function.
Conclusions: Arthroscopic and endoscopic iliopsoas tenotomy are effective treatments for alleviating symptoms and improving hip function in patients with IPI post-total hip arthroplasty (THA).
Level Of Evidence: IV.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11377508 | PMC |
| http://dx.doi.org/10.1007/s00590-024-04042-1 | DOI Listing |
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