How has arthroscopic management of the iliopsoas evolved, and why? A survey of high-volume arthroscopic hip surgeons.
Journal
Journal of hip preservation surgery
ISSN: 2054-8397
Titre abrégé: J Hip Preserv Surg
Pays: England
ID NLM: 101643347
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
17
01
2020
revised:
07
04
2020
accepted:
18
04
2020
entrez:
9
11
2020
pubmed:
10
11
2020
medline:
10
11
2020
Statut:
epublish
Résumé
The rapid growth of hip preservation has left surgeons following trends based on limited, or even anecdotal, evidence in certain circumstances. A consensus as well as high-level research on how best to manage the iliopsoas is lacking. Arthroscopic treatment of the iliopsoas may be an example of how treatment patterns and trends can shift with limited evidence-based medicine. A cross-sectional survey of 16 high-volume hip preservation surgeons was conducted to gather perspectives and opinions on how and why the arthroscopic management of the iliopsoas has evolved. All participants completed the survey in person and anonymously. Of the surveyed surgeons, the mean career hip preservation volume was 1031.25 cases (250 to >3000) with an average annual volume of 162.08 cases (75-400). Of the surveyed surgeons' caseload, 16.1% involved an iliopsoas tenotomy or fractional lengthening mostly commonly (75%) for recalcitrant internal snapping. Labral repair/reconstruction is performed concomitantly 87.5% of the time. Seventy-five percent of surgeons indicated a decrease in frequency of iliopsoas tenotomy over the course of their practice most commonly (56.3%) because of hip flexion weakness; however, 0% of the surgeons could cite literature evidence to support their practices.
Identifiants
pubmed: 33163218
doi: 10.1093/jhps/hnaa023
pii: hnaa023
pmc: PMC7605777
doi:
Types de publication
Journal Article
Langues
eng
Pagination
322-328Informations de copyright
© The Author(s) 2020. Published by Oxford University Press.
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