Does Capsular Repair in Anterior Total Hip Arthroplasty Reduce the Incidence of Iliopsoas Tendonitis?

IF 1.5 Q3 ORTHOPEDICS

Arthroplasty Today Pub Date : 2025-05-23 DOI:10.1016/j.artd.2025.101680

James M. Puleo DO, Kyaw Nyi-Rein BS, Randeep S. Chana BS, Jared T. Roberts MD

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引用次数: 0

Abstract

Background

Total hip arthroplasty (THA) is one of the most popular and successful operations in the United States. One of the known complications of THA is iliopsoas tendonitis (ITS), which is seen in 4.5% of all THAs. ITS can lead to extreme discomfort for the patient, requiring multiple interventions, with the most severe being revision of arthroplasty components. Thus, ITS is an important complication to prevent. This study looked to see if repairing the hip capsule after direct anterior approach (DAA) to the hip played a role in ITS development.

Methods

This was a retrospective study comparing the incidence of ITS symptoms for 5 different surgeons with the goal to further explore whether complete capsulectomy during DAA increases the incidence of ITS when compared to capsular repair. Telephone interviews and retrospective chart review were used to identify symptoms consistent with a diagnosis of ITS.

Results

Two hundred thirty-seven patients were studied: 187 in the DAA group, with 101 receiving capsular repair and 86 with capsulectomy; and then 50 patients received a posterior hip approach, and this was used as a control group. Overall, there was no significant difference in symptom incidence (9.9% vs 10.5%) between the capsular repair and capsulectomy groups. When analyzed for each surgeon individually, there were also no statistically significant differences.

Conclusions

There is no statistically significant difference in ITS incidence between patients receiving a direct anterior THA with capsulectomy vs those receiving a direct anterior THA with a capsular repair.

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前路全髋关节置换术中囊膜修复能降低髂腰肌肌腱炎的发生率吗？

背景：全髋关节置换术（THA）是美国最流行和成功的手术之一。髂腰肌肌腱炎（ITS）是THA的已知并发症之一，占所有THA的4.5%。ITS可导致患者极度不适，需要多次干预，最严重的是翻修关节置换术部件。因此，ITS是需要预防的重要并发症。本研究旨在观察直接前路入路（DAA）后髋关节囊的修复是否对ITS的发展起作用。方法回顾性比较5位不同术者ITS症状的发生率，目的是进一步探讨与包膜修复术相比，全包膜切除术是否会增加ITS的发生率。采用电话访谈和回顾性图表检查来确定与ITS诊断一致的症状。结果本组共237例患者，DAA组187例，其中囊修复101例，囊切除86例；然后50个病人接受了髋关节后路手术，这是一个对照组。总体而言，结膜修复组和结膜切除组的症状发生率无显著差异（9.9% vs 10.5%）。当对每个外科医生单独进行分析时，也没有统计学上的显著差异。结论直接前路THA合并髋关节囊切除术患者与直接前路THA合并髋关节囊修复患者ITS发生率无统计学差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Arthroplasty Today Medicine-Surgery

CiteScore

2.90

自引率

0.00%

发文量

258

审稿时长

40 weeks

期刊介绍： Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.