Anterior Iliopsoas Impingement due to a Malpositioned Acetabular Component - Effective Relief by Surgical Cup Reorientation
| Autor: | Christian Lausmann, Stefan Schmidl, Johannes Beckmann, Florian Fensky, Thorsten Gehrke, Oliver Jakobs, Benjamin Schoof, Matthias Gebauer |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Reoperation musculoskeletal diseases medicine.medical_specialty Iliopsoas Muscle Arthroplasty Replacement Hip medicine.medical_treatment Risk Assessment Cohort Studies 03 medical and health sciences 0302 clinical medicine Femoracetabular Impingement medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Aged Pain Measurement Retrospective Studies 030222 orthopedics business.industry Persistent pain Follow up studies Acetabulum Middle Aged Arthroplasty Prosthesis Failure Surgery Malpositioned Treatment Outcome surgical procedures operative Acetabular component Female Hip Prosthesis Chronic Pain Iliopsoas business Follow-Up Studies Total hip arthroplasty |
| Zdroj: | HIP International. 27:128-133 |
| ISSN: | 1724-6067 1120-7000 |
| Popis: | BackgroundDetermining the aetiology of persistent pain following total hip arthroplasty (THA) can be challenging. Impingement of the iliopsoas muscle due to a malpositioned acetabular component after THA might be a potential cause of postoperative groin pain.MethodsWe retrospectively analysed the data of 12 consecutive patients from our orthopaedic department who underwent cup revision for painful iliopsoas impingement after primary THA.ResultsThorough physical examination as well as radiological assessment of the included patients revealed that malpositioning of the acetabular component provoked iliopsoas impingement. The Harris Hip Score and the orientation of the acetabular component before and after surgical revision at an average follow-up of 56 months were analysed.ConclusionsWe were able to demonstrate that surgical cup revision and reorientation resulted in distinctly improved scores and is a feasible option to effectively treat persistent iliopsoas impingement due to a malpositioned acetabular component following THA. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|