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.
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.