Arthroscopic iliopsoas fractional lengthening may be preferred vs. revision THA


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Key takeaways:

  • Arthroscopic fractional lengthening of the iliopsoas tendon was associated with positive outcomes following hip arthroplasty for tendonitis.
  • Fractional lengthening may be preferred vs. revision arthroplasty.

BOSTON — In this video from the Arthroscopy Association of North America Annual Meeting, Mario Hevesi, MD, PhD, discussed arthroscopic lengthening of the iliopsoas tendon following total hip arthroplasty for patients with tendonitis.

“Acetabular cup overhang was not related to either patient-reported outcome scores or to revision arthroplasty rates,” he told Healio. “Our revision arthroplasty rates were very low — 3% on the acetabular side. As such, I think the major conclusion of our study is the fact that for patients with symptomatic iliopsoas tendonitis that is refractory to conservative management, consideration of hip arthroscopy might be an appropriate first-line treatment rather than revision arthroplasty.”

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