Arthroscopic Partial Iliopsoas Tendon Release
Arthroscopy is a minimally invasive surgical technique used in the treatment of sports medicine injuries. It involves the use of a fiber-optic camera, which we place into a joint through a small incision in order to visualize ligaments, cartilage, and soft tissue. Through another small incision, we can then use small instruments to remove or repair broken or damaged tissue.

Hip arthroscopy with a partial iliopsoas release is performed on patients who have a history of an internal snapping hip. The snapping sound and sensation comes from the iliopsoas tendon and can lead to inflammation in the hip. This procedure is often performed with a labral repair and osteoplasty of femoral neck and acetabulum.

The partial iliopsoas tendon release can be performed arthroscopically. Instead of releasing the tendon completely, which may lead to postoperative weakness, a partial tendon release is preferred. Using a heat device, the tendon is partially released and by doing this, the tendon is lengthened. This lengthening allows the tendon to glide over the hip joint and not snap any further.

Postoperative Instructions:

MOVEMENT

  • You may move your hip in any direction that is comfortable. Do not force the motion though because this will likely cause pain.

MEDICATIONS

  • An injection of local anesthesia was injected into your hip after the completion of the operation. This medication will wear off in 5 to 6 hours. Therefore, begin taking the pain medication (e.g. Vicodin, Percocet, etc) immediately when you get home. This will prevent you from having severe pain. Take the pain medication every 4 hours until you go to bed.
  • The day after surgery you can take 600 mg of Ibuprofen (Advil/Motrin) every 6 hours to help with inflammation and pain. This medication will help cut down the use of narcotic-based pain medication. However, if you still have pain after taking the Ibuprofen, continue taking the pain medication every 4-6 hours as needed.
  • A sleeping medication (e.g. Ambien) is also provided to help you sleep at night. Take one tablet 30 minutes before you plan to sleep.

DRESSING/BANDAGES

  • Your dressing is water-proof; you can shower as soon as the day after surgery. Do NOT submerge in a bath tub however; only shower and allow water to run over your dressing and pat it dry.
  • Two days after surgery you may remove your dressing completely and get your incisions wet. Apply band-aids over the incisions. Your sutures will be removed at your first post operative visit.

APPOINTMENT

  • Please call the office prior to, or immediately following, your surgery in order to schedule a postoperative appointment. This should be scheduled 7-10 days after surgery. At that visit your stitches will be removed and you will be given a prescription to begin physical therapy.

If you have any questions or concerns, please contact our assistant at (310) 659-2910 extension 3048.

Download the postoperative instructions for your procedure (PDF) 

 

Recovery Timeline:

Day of surgery: Arrive one to two hours prior to surgery. Procedure will take approximately one hour, and recovery time is one hour. For immediate post-op instructions, download the instruction sheet.

One week post-op: First follow-up visit with Dr. Snibbe/Jennifer. Your stitches will be taken out, and you will see your pictures from surgery. If an osteoplasty was performed, an X-ray will be taken in the office. Continue icing the surgical area two to three times a day (or more if needed). Continue using crutches for one more week. You can stop using the hip brace at night now. Begin taking Naprosyn twice daily for the next month. Physical therapy begins as soon as possible.

Four weeks post-op: Second follow-up visit. Range of motion check. Physical therapy continues to work on strengthening exercises and gentle range of motion.

Eight weeks post-op: Third follow-up visit. Range of motion and strength testing. If additional range of motion or strength training needed, continue physical therapy to work on these. Pain should be mostly resolved at this point.

Twelve weeks post-op: Fourth follow-up visit. Range of motion should be full/normal. You should feel stronger and have very little pain, if any. Near to full recovery is expected at this time.. You can start impact activities (running, jumping, sports-specific training, etc.).





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