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Iliopsoas tendonitis a complication after total hip arthroplasty
Michael O'Sullivan1, Cheh Chin Tai, Simon Richards
1Sydney Hip and Knee Surgeons, New South Wales, Australia.
The Journal of Arthroplasty
|February 6, 2007
Summary
Pain after total hip arthroplasty can stem from the iliopsoas tendon. Surgical release of this tendon offers significant relief for patients experiencing groin pain post-hip replacement surgery.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal Conditions
Background:
- Pain is a common complication following total hip arthroplasty.
- Iliopsoas tendon-related issues are an underrecognized cause of postoperative hip pain.
Purpose of the Study:
- To investigate the efficacy of iliopsoas tendon release for managing groin pain after cementless total hip arthroplasty.
- To highlight iliopsoas tendonitis as a differential diagnosis for persistent hip pain post-arthroplasty.
Main Methods:
- A retrospective case series of 15 patients (16 cases) with groin pain post-total hip arthroplasty.
- Conservative management failure preceded surgical iliopsoas tendon release from the lesser trochanter.
Main Results:
- Symptomatic relief was achieved in 15 out of 16 cases following iliopsoas tendon release.
- The average Harris Hip Score improved significantly from 58 to 91 postoperatively.
- One patient required acetabular prosthesis revision for persistent symptoms.
Conclusions:
- Iliopsoas tendonitis should be considered in the differential diagnosis of groin pain after total hip arthroplasty.
- Surgical release of the iliopsoas tendon provides excellent outcomes for selected patients.
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