Psoas Tenotomy Under Ultrasound

Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The ilio-psoas conflict is a commonly accepted complication after total hip replacement, often linked to a mispositioning of the acetabular prosthetic component that conflicts with the ilio-psoas tendon. To correct these pains, a psoas tenotomy can be proposed. The results proven by the literature are very satisfactory. Psoas tenotomy is performed endoscopically, arthroscopically, or more rarely open. The contribution of echo surgery allows to limit the scar ransom but also to free itself from a complex infrastructure to the operating room including an arthroscopy column and an intraoperative fluoroscopy for a conventional tenotomy, This also saves procedural and installation time. No studies to date have described ultrasound-assisted psoas tenotomy Yhe investigators conducted a cadaveric study of the feasibility of psoas tenotomy under ultrasound that confirms the feasibility of this technique and the safety of the gesture for the surrounding anatomical structures. The objectives of this study are to assess the feasibility, pain and functional outcomes of ultrasound-assisted psoas tenotomy in patients with ilio-psoas conflict after total hip replacement.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Patients 18 years of age or older

• Indication of psoas tenotomy for ilio-psoas conflict after total hip replacement

• Signature of the written informed consent form by the patient

• Affiliation to a French health insurance scheme or equivalent

⁃ Non Inclusion criteria:

• Vulnerable people: pregnant or breast-feeding women (patients will undergo a pregnancy test: urinary test), adult under guardianship or deprived of freedom.

• Allergies to local anesthetics

• Patient on anticoagulant or antiplatelet agents

• Contraindication to surgery

• Refusal of patient involvement

Locations
Other Locations
France
Nice University Hospital
RECRUITING
Nice
Contact Information
Primary
Grégoire MICICOI
micicoi.g@chu-nice.fr
0492036904
Time Frame
Start Date: 2025-03
Estimated Completion Date: 2026-03
Participants
Target number of participants: 15
Treatments
Experimental: Patient with ilio-psoas conflict and having a tenotomy indication
Sponsors
Leads: Centre Hospitalier Universitaire de Nice

This content was sourced from clinicaltrials.gov