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Updated: Feb 9, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
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Arthroscopic Identification and Management of Recurrent Iliopsoas Impingement After Total Hip Arthroplasty

Mathieu Thaunat1, Nuno C Barbosa1, Gilles Clowez1

  • 1Ramsay Générale de Santé, Hôpital Privé Jean Mermoz, Centre Orthopédique Santy, Lyon, France.

Arthroscopy Techniques
|June 6, 2018
PubMed

Arthroscopic release of the iliopsoas tendon for iliopsoas impingement (IPI) after total hip arthroplasty (THA) at the lesser trochanter gives good results. However, where IPI then recurs, due to adhesions between the healing iliopsoas tendon and the surrounding soft tissue, and nonoperative measures have failed, a revision THA procedure is usually considered. We propose a technique of arthroscopic visualization of the recurrent IPI and a subsequent psoas tenotomy at the level of the hip joint using an outside-in capsulotomy approach. This secondary tenotomy, located proximally directly at the level of the recurrent impingement, allows relief of the painful symptoms without compromising the muscle function of the iliopsoas and precludes the need for a complex THA revision.

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