Endoscopic surgery for iliopsoas tendon pain relief

Study Evaluating the Clinical Improvement Obtained by Endoscopic Tenotomy of the Ilio-Psoas, at the Level of the Lesser Trochanter Versus at the Level of the Acetabular Notch, on Psoas Cup Impingements After Total Hip Prosthesis

This study is testing two different surgical methods to relieve hip pain caused by iliopsoas tendon issues in patients with hip replacements to see which one works better.

Quick facts

• Phase: NA
• Study type: Interventional
• Enrollment: 108 (estimated)
• Ages: 18 Years and up
• Sex: All
• Sponsor: GCS Ramsay Santé pour l'Enseignement et la Recherche (other)
• Locations: 1 site (Lyon)
• Trial ID: NCT05950022 on ClinicalTrials.gov

What this trial studies

This interventional study compares two surgical techniques for endoscopic tenotomy of the iliopsoas tendon in patients experiencing anterior hip pain due to tendon conflict with a prosthetic cup. Patients will be randomly assigned to receive the procedure either at the lesser trochanter or the acetabular notch. The effectiveness of each technique will be assessed using the Oxford Hip Score at baseline, 2 months, and over 12 months post-surgery. The study aims to provide insights into which surgical approach yields better outcomes for patients suffering from iliopsoas tendinopathy.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 and older with a confirmed diagnosis of iliopsoas tendinopathy who have not responded to conservative treatments.

Not a fit: Patients with revision total hip prosthesis or those undergoing other surgical interventions during the study may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved surgical outcomes and pain relief for patients with iliopsoas tendinopathy.

How similar studies have performed: While similar surgical approaches have been explored, this specific comparative study is novel in its focus on iliopsoas tenotomy techniques.

Eligibility criteria

Inclusion Criteria:

* Age ≥ 18 years old;
* Definite diagnosis of iliopsoas tendinopathy due to conflict between the tendon and the prosthetic cup;
* Failure of first-line conservative treatment;
* Planned endoscopic tenotomy;
* Affiliation to the social security scheme;
* Signed informed consent.

Exclusion Criteria:

* Revision total hip prosthesis, multiple operations prior to tenotomy;
* Other surgical or medical interventions planned during the study;
* Participation in another clinical trial, or during a period of exclusion from another clinical trial;
* Pregnant or likely to be pregnant (of childbearing age, without effective contraception) or breastfeeding;
* Patient deprived of liberty or under guardianship or curatorship or unable to give consent.

Where this trial is running

Lyon

• Clinique de la Sauvegarde — Lyon, France (RECRUITING)

Study contacts

• Study coordinator: Nicolas BONIN, MD

Conditions: Tendinopathy