ArticleScientific reports2023
Relationship between iliopsoas muscle surface pressure and implant alignment after total hip arthroplasty: a cadaveric study.
Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Clinical Diagnosis and Treatment of Iliopsoas-Related Groin Pain: A Systematic Review.Journal of clinical medicine · 2026Review
- Trans-Ulnar Single Incision Fasciotomy for Decompression of Forearm Compartment Syndrome: A Cadaveric Study.Orthopaedic surgery · 2025Article
- Risk Factors for Iliopsoas Impingement Following Total Hip Arthroplasty: A Systematic Review.Journal of clinical medicine · 2025Review
- Endoscopic Iliopsoas Fractional Lengthening After Total Hip Arthroplasty: Surgical Technique.Arthroscopy techniques · 2025Article
- Evaluation of cup placement accuracy in computer assisted total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2025Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Iliopsoas impingement after total hip arthroplasty is caused by the implant irritating the iliopsoas muscle, but changes in the iliopsoas muscle have not been quantitatively evaluated. This study assessed changes in the surface pressure of the iliopsoas muscle when the implant alignment was varied. Total hip arthroplasty was performed in 10 fresh-frozen cadaveric hips. We evaluated the maximum and mean surface pressure of the iliopsoas muscle with the hip in 20° and 10° extension, the neutral position, and 10° flexion when the anterior cup protrusion length (ACPL), stem version, and stem offset were varied. When the ACPL was changed to 0, 3, and 6 mm in 20° extension, the maximum surface pressure was significantly increased for ACPL of 6 mm compared with 0 mm. Decreased stem anteversion resulted in a significant reduction in both the maximum and mean surface pressure compared with native anteversion from 20° extension to the neutral position. Increased stem offset resulted in significant increases in the maximum and mean surface pressure of the iliopsoas muscle compared with decreased stem offset in 20° extension. Not only large ACPL but also changes in stem version and offset affected the maximum surface pressure of the iliopsoas muscle.
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