PMID- 37923175
OWN - NLM
STAT- Publisher
LR  - 20231110
IS  - 1877-0568 (Electronic)
IS  - 1877-0568 (Linking)
DP  - 2023 Nov 1
TI  - What happens in the medium-term to capsule-thickening plasties for iliopsoas 
      impingement after total hip arthroplasty? Evaluation of 14 procedures at 4years' 
      follow-up.
PG  - 103741
LID - S1877-0568(23)00281-5 [pii]
LID - 10.1016/j.otsr.2023.103741 [doi]
AB  - INTRODUCTION: In 2015, we described a capsule-thickening technique via an 
      anterior approach for iliopsoas cup impingement. To our knowledge, medium-term 
      results have not been reported. We therefore retrospectively analyzed all cases 
      in the initial series and those since 2015, to assess this original technique 
      over a longer follow-up: (1) to analyze complications, and (2) to assess 
      functional outcome. HYPOTHESIS: The study hypothesis was that this surgical 
      solution has a success rate sufficient for it to be included in the therapeutic 
      armamentarium for iliopsoas impingement. MATERIAL AND METHOD: Fourteen patients 
      were included. Nine plasties were in first line, 3 after tenotomy, and 2 after 
      cup exchange. The anterior Hueter approach was used, visualizing anterior cup 
      overhang, sometimes associated with penetration of the anterior capsule, and 
      enabling capsule-thickening by a folded Vicryl mesh. Functional results were 
      analyzed. RESULTS: At a median 4years' follow-up (IQR: 2-5; range: 1-9), change 
      over baseline in Oxford score was 7 points (p=0.004), median Medical Research 
      Council thigh flexion strength score was 5 (IQR: 5-5), and 50% of patients (7/14) 
      were satisfied or very satisfied. The major complications rate was 7% (1/14), for 
      1 irrigation of infected hematoma, cured without recurrence; there was also 1 
      minor case of injury to the lateral cutaneous nerve of the thigh. Forty-three 
      percent of patients (6/14) exhibited a minimal clinically important difference 
      (MCID) and 64% (9/14) a patient-acceptable symptom state (PASS). Median anatomic 
      overhang on anatomic CT transverse slice was 7mm (IQR: 3-8; range: 0-13). Four 
      patients underwent secondary acetabular component exchange; their median overhang 
      was 7.5mm (IQR: 7-8) compared to 5mm (IQR: 2-8) for the other patients (p-value 
      non-calculable). CONCLUSION: This surgical option seems interesting when 
      acetabular overhang is not too great, especially as it does not affect flexion 
      strength. LEVEL OF EVIDENCE: IV.
CI  - Copyright (c) 2023 Elsevier Masson SAS. All rights reserved.
FAU - Martinot, Pierre
AU  - Martinot P
AD  - Departement de Chirurgie Orthopedique, Groupement des Hopitaux de l'Institut 
      Catholique de Lille, Universite Catholique de Lille, Lomme, France. Electronic 
      address: pierre.martinot@hotmail.fr.
FAU - Baujard, Alexandre
AU  - Baujard A
AD  - Service d'Orthopedie, Hopital Salengro, CHU de Lille, place de Verdun, 59000 
      Lille, France.
FAU - Demondion, Xavier
AU  - Demondion X
AD  - Departement d'Imagerie Musculosquelettique, Universite de Lille, Centre de 
      Consultations et d'Imagerie de l'Appareil Locomoteur (C.C.I.A.L.), CHU de Lille, 
      rue du Professeur Emile-Laine, 59037 Lille cedex, France.
FAU - Girard, Julien
AU  - Girard J
AD  - Service d'Orthopedie, Hopital Salengro, CHU de Lille, place de Verdun, 59000 
      Lille, France; Universite de Lille, CHU de Lille, ULR 2694 - METRICS: Evaluation 
      des Technologies de Sante et des Pratiques Medicales, 59000 Lille, France; 
      University of Lille, University of Artois, University Littoral Cote d'Opale, EA 
      7369 - Unite de Recherche Pluridisciplinaire Sport Sante Societe (URePSS), 59000 
      Lille, France.
FAU - Migaud, Henri
AU  - Migaud H
AD  - Service d'Orthopedie, Hopital Salengro, CHU de Lille, place de Verdun, 59000 
      Lille, France.
LA  - eng
PT  - Journal Article
DEP - 20231101
PL  - France
TA  - Orthop Traumatol Surg Res
JT  - Orthopaedics & traumatology, surgery & research : OTSR
JID - 101494830
SB  - IM
OTO - NOTNLM
OT  - Complication
OT  - Hip capsule-thickening
OT  - Iliopsoas impingement
OT  - Total hip arthroplasty
EDAT- 2023/11/06 03:54
MHDA- 2023/11/06 03:54
CRDT- 2023/11/03 20:18
PHST- 2023/01/20 00:00 [received]
PHST- 2023/06/04 00:00 [revised]
PHST- 2023/09/07 00:00 [accepted]
PHST- 2023/11/06 03:54 [pubmed]
PHST- 2023/11/06 03:54 [medline]
PHST- 2023/11/03 20:18 [entrez]
AID - S1877-0568(23)00281-5 [pii]
AID - 10.1016/j.otsr.2023.103741 [doi]
PST - aheadofprint
SO  - Orthop Traumatol Surg Res. 2023 Nov 1:103741. doi: 10.1016/j.otsr.2023.103741.