Editorial Commentary: Indiscriminate Iliopsoas Tenotomy May Cause Complications–With Tight Indications and Transbursal Lengthening, We May Avoid Them
نویسندگان
چکیده
Surgical management of iliopsoas pathology that fails conservative treatment is controversial. Potential complications following tenotomy include recurrent painful internal snapping, postoperative pain, and hip flexor weakness. Concerns are even greater in dysplastic patients, whom the may play a role as an anteromedial stabilizer. Although data demonstrate arthroscopic for snapping safe effective, its use has declined reasons stated above. On other hand, procedures such capsular plication with inferior shift anatomic labral repair, augmentation, reconstruction have made it possible to restore primary stabilizers many cases instability. In these cases, fractional lengthening (IFL) avoidance collateral damage musculature or capsule can successfully treat hip. We recommend when (1) there (2) IFL be performed without damage, (3) soft tissue restored augmented, (4) no bony morphology likely cause continued
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ژورنال
عنوان ژورنال: Arthroscopy
سال: 2021
ISSN: ['1526-3231', '0749-8063']
DOI: https://doi.org/10.1016/j.arthro.2021.04.065