Table 2.

Pearls and Pitfalls of Endoscopic Iliopsoas Fractional Lengthening After Total Hip Arthroplasty

Pearls

The surgeon should begin by marking the location 2 cm proximal to the lesser trochanter under fluoroscopy.

Slight flexion ensures easier mobilization of the iliopsoas tendon.

An adequate release of the iliopsoas tendon facilitates identification of the muscular-tendon interface.

Pitfalls

Capsular penetration should be avoided because it could impact anterior hip stability.

Careful dissection is required to avoid penetration of the anterior capsule.