Evidence map›Paper›PMID 38977435›Full record

SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

Arthroscopic and endoscopic techniques for iliopsoas release in THA are safe and effective: a systematic review of the literature.

Riccardo Giai Via, Matteo Giachino, Ahmed Elzeiny, Andrea Donis, Simone De Vivo, Francesco Bosco, Alessandro Massè

Abstract readSystematic Review
In one paragraph

Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Endoscopy for sciatic nerve entrapment in deep gluteal syndrome. A systematic review of literature.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Pooled it
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Riccardo Giai ViaDepartment of Orthopaedic Surgery, Centro Traumatologico Ortopedico (CTO), Turin, Italy.ORCID http://orcid.org/0000-0003-1170-230X
Matteo GiachinoDepartment of Orthopaedics and Traumatology, University of Turin, Turin, Italy.ORCID http://orcid.org/0000-0003-1818-7689
Ahmed ElzeinyDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Kafr El Sheikh University, Kafr El-Shaikh, Egypt.ORCID http://orcid.org/0009-0000-9528-6723
Andrea DonisDepartment of Orthopaedic Surgery, Centro Traumatologico Ortopedico (CTO), Turin, Italy.ORCID http://orcid.org/0000-0003-2185-610X
Simone De VivoDepartment of Orthopaedics and Traumatology, University of Turin, Turin, Italy.ORCID http://orcid.org/0000-0003-1549-8334
Francesco BoscoDepartment of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, Palermo, Italy. francescobosco@icloud.com.ORCID http://orcid.org/0000-0001-8306-1869
Alessandro MassèDepartment of Orthopaedic Surgery, Centro Traumatologico Ortopedico (CTO), Turin, Italy.ORCID http://orcid.org/0000-0003-3999-4121

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHip replacement surgery is highly effective in relieving pain and improving mobility in patients with various hip conditions. However, some patients develop groin pain after surgery, often due to iliopsoas impingement (IPI), which can be challenging to diagnose. Conservative treatments are initially recommended, but when these are not effective, surgical options may be considered. This study aims to evaluate the clinical outcomes, success and failure rates, revision rates, and complications associated with arthroscopic and endoscopic surgery for IPI, thereby providing a comprehensive understanding of the effectiveness and risks of these surgical interventions. MATERIALS AND

methodsA systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, including a thorough search of five main databases: PubMed, Scopus, Embase, Medline, and Cochrane. Eligible articles were meticulously evaluated according to predefined criteria for levels of evidence (LoE), with retrospective studies assessed using the Coleman Methodology Score (mCMS). This systematic review was registered in the International Prospective Registry of Systematic Reviews (PROSPERO).

resultsAmong the 16 included studies, 431 patients with 434 hips underwent either endoscopic or arthroscopic tenotomy. Both techniques showed favorable outcomes, with arthroscopic tenotomy demonstrating slightly higher success rates than endoscopic tenotomy. Common complications included mild pain and occasional infections, with recurrence observed in some cases. Both techniques offer direct visualization of prosthetic components and potential preservation of psoas function.

conclusionsArthroscopic and endoscopic iliopsoas tenotomy are effective treatments for alleviating symptoms and improving hip function in patients with IPI post-total hip arthroplasty (THA). LEVEL OF EVIDENCE: IV.

Indexed as

Arthroplasty, Replacement, HipArthroscopyEndoscopyHumansPostoperative ComplicationsPostoperative PainPsoas MusclesReoperationTenotomyTreatment OutcomeArthroscopicEndoscopicHip arthroscopyIliopsoas impingementIliopsoas tenotomyTotal hip arthroplastyTotal hip replacement

Identifiers

PMID38977435
PMCPMC11377508

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.