Frequency, Developing Time, Intensity, Duration, and Functional Score of Thigh Pain After Cementless Total Hip Arthroplasty

Jo, Woo-Lam; Lee, Yong Seuk; Ha, Yong‐Chan; Park, Moon Seok; Lyu, Sung Hwa; Koo, Kyung Hoi

doi:10.1016/j.arth.2015.12.016

Cited by 33 publications

(35 citation statements)

References 23 publications

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“…In the United Kingdom, fully uncemented THA has overtaken fully cemented THA in 2008, as the most popular fixation combination, while hybrid fixation has recently gained popularity. 2 Using an uncemented stem carries the risk of exposing the patient to potential thigh pain, the incidence of which is variable, depending on stem design, but can be more than 11%, 3,4 and proximal stress shielding, which is frequently seen with stems which load in the diaphysis. Avoiding the above issues and preserving bone stock for potential future revision procedures have led to the development of short metaphyseal stems that offer a more proximal fixation in the metaphyseal cancellous bone.…”

Section: Introductionmentioning

confidence: 99%

The DePuy Proxima™ short stem for total hip arthroplasty – Excellent outcome at a minimum of 7 years

Gombár

Janositz

Friebert

et al. 2019

J Orthop Surg (Hong Kong)

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Metaphyseal, proximally anchored uncemented stems for total hip arthroplasty provide bone preservation and decrease the incidence of proximal stress shielding and thigh pain. Our study investigated the clinical and radiological outcome of the DePuy Proxima™ short stem at a minimum of 7 years. Methods: Eighty-one consecutive patients (86 procedures) under the age of 70 undergoing primary total hip replacement at two arthroplasty centres were enrolled. Follow-up was clinical (Harris Hip Score (HHS), thigh pain and satisfaction) and radiological (subsidence, malalignment and loosening) at 6 months and yearly thereafter. Results: Average age was 50 (range 32-65) with 79% (68 of 86) being male. Preoperative diagnosis included primary osteoarthritis (OA) 36%, avascular necrosis of femoral head 51%, dysplasia 9% and post-traumatic OA 4%. HHS improved 51 points at latest follow-up (from 40 to 91). We had 3.5% (3 of 86) periprosthetic fractures, one requiring revision. We had one dislocation, no infections and no thigh pain. Malalignment rate (5 off neutral) was 12% (10 of 86), not affecting clinical results. Conclusion: Overall stem survival was over 97% at 7 years. The DePuy Proxima provides excellent clinical results at a minimum of 7 years post-operatively.

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Section: Introductionmentioning

confidence: 99%

The DePuy Proxima™ short stem for total hip arthroplasty – Excellent outcome at a minimum of 7 years

Gombár

Janositz

Friebert

et al. 2019

J Orthop Surg (Hong Kong)

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“…We also found that many patients experienced thigh pain and stiffness following total hip arthroplasty. Jo et al [11] reported an incidence of 11.3% with thigh pain within 2-78 months following surgery in a study of 240 patients using a cementless tapered titanium femoral stem. In a study of 682 hips which evaluated residual symptoms and patient satisfaction, Nam et al [12] reported that stiffness (20%), clicking/popping (9%), limp (52%), and the inability to run or jog (89%) were perceived as problems for patients.…”

Section: Discussionmentioning

confidence: 99%

Nuisance Symptoms in Total Joint Arthroplasty: Prevalence and Impact on Patient Satisfaction

Wood

Petruccelli

Tushinski

et al. 2020

The Journal of Arthroplasty

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“…These implants have shown better biocompatibility than those used in cement-based fixation methods and have been preferred over implants that use cement because of their advantage of secondary fixation to prevent contact between the implant and bone [18]. However, postoperative anterior thigh pain was repeatedly reported to be more common with cementless than with cemented stems [2,[4][5][6][7]17].…”

Section: Discussionmentioning

confidence: 99%

Correlation between anterior thigh pain and morphometric mismatch of femoral stem

Chung

2020

Yeungnam Univ J Med

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Background: Postoperative pain occurring after hip arthroplasty has become common since the expanded use of cementless femoral stems. The characteristic pain develop in the anterolateral thigh area. This study aimed to predict anterior thigh pain based on the measurements of postoperative anteroposterior (AP) and lateral (Lat) radiographs of the hip joint. Methods: The present study included 26 patients (29 hips) who underwent total hip replacement or bipolar hemiarthroplasty between March 2010 and May 2016, whose complete clinical information was available. AP and Lat radiographs of the affected hip were taken on the day of surgery and 1 and 6 months postoperatively. Patients with improper radiographs were excluded. The distance from the femoral stem to the nearest cortical bone in the distal region of the stem was measured. The patient group with a visual analog scale (VAS) score of ≥6 points was designated as patients with anterior thigh pain. Results: Sex, age, weight, height, body mass index, and bone mineral density in the lumbar spine and femur did not have a significant effect on postoperative VAS scores (p>0.05). Presence of contact between the femoral stem and cortical bone was associated with postoperative anterior thigh pain. Conclusion: Hip AP and Lat radiographs are usually taken to confirm fixation and alignment of the femoral stem after hip arthroplasty. The measurement method introduced in this study can be utilized for predicting anterior thigh pain after hip arthroplasty.

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Frequency, Developing Time, Intensity, Duration, and Functional Score of Thigh Pain After Cementless Total Hip Arthroplasty

Cited by 33 publications

References 23 publications

The DePuy Proxima™ short stem for total hip arthroplasty – Excellent outcome at a minimum of 7 years

The DePuy Proxima™ short stem for total hip arthroplasty – Excellent outcome at a minimum of 7 years

Nuisance Symptoms in Total Joint Arthroplasty: Prevalence and Impact on Patient Satisfaction

Correlation between anterior thigh pain and morphometric mismatch of femoral stem

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