The Failed Hip Arthroscopy - How to Successfully Manage (and Not Replace) It (AANA22)-Question and Answers

Question and Answers_ Failed Hip Arthroscopy

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Video Summary

Experts discussed iliopsoas tendon release complications, focusing on muscle atrophy and weakness risks. The iliopsoas is a key hip stabilizer, and releasing it can cause tendon lengthening and possible strength deficit. Repairing the hip capsule and ligament is important for static stability. Studies show mixed muscle attachment sites and variable atrophy, reasons for which remain unclear. Most releases occur in total hip patients with snapping hip pain, as primary lengthening may worsen instability, particularly in dysplasia or laxity cases. Capsular plication is recommended to reduce dynamic stabilizer load. Patient outcomes vary, with some regaining significant function post-surgery.

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Marc R. Safran, M.D., Marc J. Philippon, M.D., Ajay Lall, M.D., Andrea M. Spiker, M.D.

Keywords

iliopsoas tendon release

muscle atrophy

hip stability

capsular plication

snapping hip pain