ARTHROSCOPIC ILIOPSOAS TENDON RELEASE FOR GROIN PAIN AFTER TOTAL HIP REPLACEMENT: A REVIEW OF THE LITERATURE AND CURRENT TRENDS

Introduction: Anterior groin pain is a common complication following total hip replacement (THR) surgery. One of the potential causes is Iliopsoas impingement (IPI), which can significantly impact patient recovery and satisfaction.

Aim: The aim of this study is to investigate the efficacy of arthroscopic iliopsoas tendon release (AITR) as a treatment for unresolved anterior groin pain following THR and to identify potential risk factors that could predict the outcome of the procedure.

Materials and Methods: Retrospective review of the literature demonstrated that anterior groin pain has been a subject of investigation in many orthopedic centers dealing with primary and revision hip replacements. Minimally invasive methods have been a subject of extensive investigation.

Results: Trends are showing that hip arthroscopy is gaining popularity among traditional hip procedures and that appropriately trained young adult hip surgeons can offer solutions in the field of unexplained post THR hip pain either during the immediate or the longer-term post op period.

Conclusions: This retrospective analysis provides valuable insights into the use of AITR for painful THR. The findings suggest that AITR is a potentially effective intervention for alleviating pain, improving range of motion, and enhancing functional outcomes in patients with iliopsoas tendon impingement. Hip arthroscopy is deemed advantageous in comparison with traditional open procedures and its reputation is growing fast.