Abstract：
BACKGROUND: Hip replacement surgery is highly effective in relieving pain and improving mobility in patients with various hip conditions. However, some patients develop groin pain after surgery, often due to iliopsoas impingement (IPI), which can be challenging to diagnose. Conservative treatments are initially recommended, but when these are not effective, surgical options may be considered. This study aims to evaluate the clinical outcomes, success and failure rates, revision rates, and complications associated with arthroscopic and endoscopic surgery for IPI, thereby providing a comprehensive understanding of the effectiveness and risks of these surgical interventions.
METHODS: A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, including a thorough search of five main databases: PubMed, Scopus, Embase, Medline, and Cochrane. Eligible articles were meticulously evaluated according to predefined criteria for levels of evidence (LoE), with retrospective studies assessed using the Coleman Methodology Score (mCMS). This systematic review was registered in the International Prospective Registry of Systematic Reviews (PROSPERO).
RESULTS: Among the 16 included studies, 431 patients with 434 hips underwent either endoscopic or arthroscopic tenotomy. Both techniques showed favorable outcomes, with arthroscopic tenotomy demonstrating slightly higher success rates than endoscopic tenotomy. Common complications included mild pain and occasional infections, with recurrence observed in some cases. Both techniques offer direct visualization of prosthetic components and potential preservation of psoas function.
CONCLUSIONS: Arthroscopic and endoscopic iliopsoas tenotomy are effective treatments for alleviating symptoms and improving hip function in patients with IPI post-total hip arthroplasty (THA).
METHODS: IV.
METHODS: A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, including a thorough search of five main databases: PubMed, Scopus, Embase, Medline, and Cochrane. Eligible articles were meticulously evaluated according to predefined criteria for levels of evidence (LoE), with retrospective studies assessed using the Coleman Methodology Score (mCMS). This systematic review was registered in the International Prospective Registry of Systematic Reviews (PROSPERO).
RESULTS: Among the 16 included studies, 431 patients with 434 hips underwent either endoscopic or arthroscopic tenotomy. Both techniques showed favorable outcomes, with arthroscopic tenotomy demonstrating slightly higher success rates than endoscopic tenotomy. Common complications included mild pain and occasional infections, with recurrence observed in some cases. Both techniques offer direct visualization of prosthetic components and potential preservation of psoas function.
CONCLUSIONS: Arthroscopic and endoscopic iliopsoas tenotomy are effective treatments for alleviating symptoms and improving hip function in patients with IPI post-total hip arthroplasty (THA).
METHODS: IV.
摘要：
背景：髋关节置换手术在缓解各种髋关节疾病患者的疼痛和改善活动能力方面非常有效。然而,一些患者在手术后出现腹股沟疼痛，通常由于髂腰肌撞击（IPI），这可能是具有挑战性的诊断。最初推荐保守治疗，但是当这些无效时，可以考虑手术选择。本研究旨在评估临床结果，成功率和失败率，修订率，以及与IPI的关节镜和内窥镜手术相关的并发症，从而全面了解这些手术干预的有效性和风险。
方法：根据系统评价和荟萃分析（PRISMA）指南的首选报告项目进行系统评价，包括对五个主要数据库的彻底搜索：PubMed，Scopus,Embase,Medline,还有Cochrane.根据预定义的证据水平标准（LoE），对符合条件的文章进行了精心评估，采用科尔曼方法论评分（mCMS）评估的回顾性研究。该系统评价已在国际前瞻性系统评价登记处（PROSPERO）注册。
结果：在纳入的16项研究中，431例434髋患者接受了内窥镜或关节镜下肌腱切开术。两种技术都显示出良好的结果，关节镜下肌腱切开术显示出比内窥镜下肌腱切开术略高的成功率。常见的并发症包括轻度疼痛和偶尔的感染，在某些情况下观察到复发。两种技术都提供了假体组件的直接可视化以及腰大肌功能的潜在保留。
结论：关节镜和内镜下髂腰肌截断术是治疗IPI全髋关节置换术(THA)后症状缓解和改善髋关节功能的有效方法。
方法：IV.
方法：根据系统评价和荟萃分析（PRISMA）指南的首选报告项目进行系统评价，包括对五个主要数据库的彻底搜索：PubMed，Scopus,Embase,Medline,还有Cochrane.根据预定义的证据水平标准（LoE），对符合条件的文章进行了精心评估，采用科尔曼方法论评分（mCMS）评估的回顾性研究。该系统评价已在国际前瞻性系统评价登记处（PROSPERO）注册。
结果：在纳入的16项研究中，431例434髋患者接受了内窥镜或关节镜下肌腱切开术。两种技术都显示出良好的结果，关节镜下肌腱切开术显示出比内窥镜下肌腱切开术略高的成功率。常见的并发症包括轻度疼痛和偶尔的感染，在某些情况下观察到复发。两种技术都提供了假体组件的直接可视化以及腰大肌功能的潜在保留。
结论：关节镜和内镜下髂腰肌截断术是治疗IPI全髋关节置换术(THA)后症状缓解和改善髋关节功能的有效方法。
方法：IV.
