Midterm Outcomes of Iliopsoas Fractional Lengthening for Internal Snapping as Part of Hip Arthroscopy for Femoroacetabular Impingement and Labral Tear: A Matched Control Study
Authors
Perets I, Chaharbakhshi EO, Mansor Y, Ashberg LJ, Mu BH, Battaglia MR, Lall AC, Domb BG
DOI: 10.1016/j.arthro.2018.11.050
Background
Iliopsoas snapping is a condition that can cause pain in the hip. Iliopsoas fractional lengthening (IFL) can be performed during hip arthroscopy to treat internal snapping. This study examines the outcomes of IFL in patients with femoroacetabular impingement (FAI) and labral tears.
Methods
The study involved 57 patients who underwent hip arthroscopy with IFL for internal snapping, matched with a control group who had FAI and labral tears but no snapping. Patients were followed for a minimum of 5 years.
Key Findings
Patients who underwent IFL had significant improvements in hip function and pain. 80% of patients had resolution of painful snapping. The complication rate was low, and the need for further surgeries was similar to the control group.
Conclusions
IFL, when used in combination with hip arthroscopy for FAI and labral tears, provides favorable midterm outcomes with a low complication rate.
What Does This Mean for Patients
If you experience painful internal snapping in your hip along with FAI or labral tears, IFL during hip arthroscopy may offer significant relief, with good long-term outcomes and a low risk of complications.