Original ArticlesPatients' perception of pain after total hip arthroplasty*,**
Section snippets
Materials and methods
Two separate consecutive series of uncomplicated primary THAs performed by 2 different surgeons at 2 university-affiliated teaching hospitals were studied. At 1 center, cemented stems were used in patients older than age 60 years, and proximally coated cementless stems were used in younger patients. At the other center, fully coated stems were implanted in >98% of patients regardless of age.
All procedures were performed through a posterolateral surgical approach, and the same cementless
Results
The average Harris Hip Score for the overall group was 90. The average hip score for proximally coated hips was 86; for fully coated hips, 93; and for cemented hips, 87. No patient underwent revision for persistent pain during the course of this study, and there were no patients considering revision for pain. There were also no cases of probable or definite radiographic loosening in any of the 3 groups.
Thigh pain was present to some degree in 23% of the entire group of 320 hips based on the
Discussion
To clarify the issue of the incidence, location, and severity of pain after THA, we administered a number of qualitative and quantitative ratings of pain to a large group of patients who had undergone primary THA with cemented and cementless stems that were evaluated with the same degree of detail. The same cementless acetabular component was used in all cases to neutralize the potential effect of that parameter. Pain drawings were used to allow patients to specify their perception of the
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Effects of changes in whole-body alignment on ipsilateral knee pain after total hip arthroplasty
2023, Journal of Orthopaedic ScienceDifferences in peri-hip articular pain after total hip arthroplasty between taper wedge stem and fit-and-fill stem
2023, Journal of OrthopaedicsThe Effect of Femoral Head Size on Groin Pain in Total Hip Arthroplasty
2022, Journal of ArthroplastyCitation Excerpt :This could explain why the rates of groin pain in our study measured by participation in extended physical therapy were higher than those reported by Stavrakis et al and Lenartowicz et al, respectively [14,19]. However, our study may arguably have more accurately captured the rate of patients who were experiencing groin pain compared to the binary “yes or no” question administered in their study as many patients who answered “yes” may have been experiencing mild groin pain that is expected as part of the recovery process after THA [20–22]. Our findings coincide with the conclusions of Stavrakis et al regarding the presence of groin pain in FB in comparison to DM implants.
Minimum 15-Year Results of a Dual-Offset Uncemented Femoral Stem in Total Hip Arthroplasty
2019, Journal of Arthroplasty
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Funds were received from DePuy, Inc, in support of the research material described in this article.
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Reprint requests: Robert L. Barrack, MD, Tulane University School of Medicine, Department of Orthopaedic Surgery, 1430 Tulane Avenue, SL32, New Orleans, LA 70112.