Arthroscopic Iliopsoas Lengthening Following Hip Replacement

Iliopsoas impingement is a condition that can occur after total hip arthroplasty or replacement (THA). It is caused by the iliopsoas tendon rubbing against the edge of the acetabular cup or the femoral head. This can cause pain, stiffness, and decreased range of motion in the hip. Additional problems may be caused by inappropriate tensioning or contracture of the psoas and severe bursitis.

Arthroscopic iliopsoas lengthening is a minimally invasive procedure that can be used to treat iliopsoas impingement following THA. During the procedure, we makes small incisions in the hip and inserts a camera and surgical instruments. We then lengthen the iliopsoas tendon by carefully performing an interval slide along the myotendinous junction.

Arthroscopic iliopsoas lengthening is a safe and effective procedure that can provide relief from pain and improve range of motion in the hip. The procedure usually takes about 1 hour to perform and patients typically go home the same day.

Risks and Complications

As with any surgery, there are some risks associated with arthroscopic iliopsoas lengthening. These risks include:

• Infection

• Bleeding

• Nerve damage

• Thrombosis

• Reaction to anesthesia

Recovery

Recovery from arthroscopic iliopsoas lengthening is usually relatively quick. Patients typically use crutches for only a few days and then begin physical therapy. Physical therapy will help to improve range of motion and strength in the hip.

Most patients are able to return to their normal activities within 6-8 weeks after surgery. However, it is important to listen to your body and not push yourself too hard during recovery.

If you are experiencing pain, stiffness, or decreased range of motion in your hip after THA, talk to us about whether arthroscopic iliopsoas lengthening may be right for you.