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Thigh pain after arthroplasty

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https://www.readbyqxmd.com/read/27870648/facilitated-temporal-summation-of-pain-correlates-with-clinical-pain-intensity-after-hip-arthroplasty
#1
Masashi Izumi, Kristian Kjær Petersen, Mogens Berg Laursen, Lars Arendt-Nielsen, Thomas Graven-Nielsen
Widespread hyperalgesia has been found in patients with painful hip osteoarthritis (OA) which can be normalized after total hip arthroplasty (THA) if patients have no residual postoperative pain. This study characterized the preoperative somatosensory profiles and provided possible interpretation of underlying pain mechanisms that might influence the development of postoperative pain. Forty hip OA patients with unilateral pain were assessed before and 6 weeks post-THA and compared with forty asymptomatic control subjects...
November 17, 2016: Pain
https://www.readbyqxmd.com/read/27787383/short-stem-prostheses-in-primary-total-hip-arthroplasty-a-meta-analysis-of-randomized-controlled-trials
#2
Shao-Chuan Huo, Fan Wang, Lu-Jue Dong, Wei Wei, Jing-Qi Zeng, Hong-Xing Huang, Qing-Min Han, Rui-Qi Duan
BACKGROUND: Short-stem (SS) prostheses require less resection of the femoral neck, produce a more physiological load pattern in the proximal femur, reduce stress shielding, and aid bone conservation and are, therefore, beneficial for young patients. Conventional cementless implants in total hip arthroplasty (THA) have shown excellent clinical results; however, it is unclear whether SS prostheses can obtain the same clinical and radiological outcomes. We conducted a meta-analysis of randomized controlled trials (RCTs) to evaluate whether SS prostheses are superior to conventional implants after primary THA...
October 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27728925/-diagnostic-algorithm-for-failure-analysis-of-painful-total-hip-arthroplasties
#3
B Fink, R Lass
Background: Total hip arthroplasty (THA) is one of the most common and successful surgical procedures in orthopedic surgery and clinical success can be characterized by the revision rate and improvement of function, as well as the patient's satisfaction and pain. Despite the clinical success of primary THA with 10-year survival rates as high as 96 % (Swedish Hip Arthroplasty Register, 2011), the prevalence of groin pain after conventional total hip replacement ranges from 0.4 to 18.3 % and activity-limiting thigh pain is still an existing problem linked to the femoral component of uncemented hip replacement in up to 1...
October 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/27593731/is-the-direct-superior-iliotibial-band-sparing-approach-associated-with-decreased-pain-after-total-hip-arthroplasty
#4
Denis Nam, Zachary Meyer, Richard D Rames, Ryan M Nunley, Robert L Barrack, Douglas J Roger
BACKGROUND: Recently, the direct superior approach (DSA) has been introduced in total hip arthroplasty (THA) with the goal of limiting soft tissue dissection. This study's purpose was to use a visual pain diagram questionnaire to determine the location and severity of pain in patients undergoing THA via a DSA vs miniposterior approach (MPA). METHODS: This was a prospective, Institutional Review Board (IRB)-approved investigation from 3 centers. Patients aged 18-70 years with a diagnosis of osteoarthritis were included...
August 10, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27536623/periprosthetic-insufficiency-fracture-around-radiographically-loose-cemented-stem-a-report-of-two-cases
#5
Young Soo Chun, Jung Suk Lee, Yoon Je Cho, Kee Hyung Rhyu
As the osteoporotic patient population grows, various periprosthetic fractures that cannot be classified appropriately can occur around the femur after hip arthroplasty. We experienced two cases of periprosthetic insufficiency fractures at subtrochanteric area of the femurs around radiographically loose cemented femoral stems. The ages of the patients were 75 years and 83 years. Both patients could not recall any history of trauma before the onset of pain. Both were treated non-operatively. Both healed uneventfully and did not recur after two years of follow up...
September 2015: Hip & Pelvis
https://www.readbyqxmd.com/read/27343734/extremely-early-stage-osteonecrosis-of-the-femoral-head-in-a-patient-with-hip-pain-secondary-systemic-steroid-pulse-therapy-for-vogt-koyanagi-harada-syndrome-a-case-report
#6
Yutaka Kuroda, Kazutaka So, Koji Goto, Shuichi Matsuda
INTRODUCTION: Osteonecrosis of the femoral head (ONFH) is a corticosteroid-associated disease that mostly cause femoral head collapse and gait disturbance. At the final stage of ONFH, the most reliable treatment is total hip arthroplasty even in young patients. Although magnetic resonance imaging (MRI) is useful for early diagnosis, initial stages are asymptomatic, with pain intensifying after femoral head collapse. PRESENTATION OF CASE: A 34-year-old female patient with rapid bilateral loss of vision was diagnosed Vogt-Koyanagi-Harada syndrome...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27299095/avascular-necrosis-of-acetabulum-the-hidden-culprit-of-resistant-deep-wound-infection-and-failed-fixation-of-fracture-acetabulum-a-case-report
#7
Kandhari V K, Desai M M, Bava S S, Wade R N
INTRODUCTION: Chances of avascular necrosis of acetabulum are rare as it enjoys a rich blood supply. But cases of post - traumatic avascular necrosis of acetabulum following fracture of posterior column have been well documented. Importance of identifying and suspecting the avascular necrosis of acetabulum is essential in cases of failed fixation of fracture acetabulum, previously operated using extensile approach to acetabulum; either extended anterior ilio - femoral or tri - radiate approach...
October 2015: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27218090/formation-of-a-pseudotumor-in-total-hip-arthroplasty-using-a-tribological-metal-polyethylene-pair
#8
Lorenzo Fagotti, José Ricardo Negreiros Vicente, Helder Souza Miyahara, Pedro Vitoriano de Oliveira, Antônio Carlos Bernabé, Alberto Tesconi Croci
The aim here was to report a case of a young adult patient who evolved with tumor formation in the left thigh, 14 years after revision surgery on hip arthroplasty. Davies in 2005 made the first description of this disease in patients undergoing metal-on-metal hip arthroplasty. Over the last decade, however, pseudotumors around metal-on-polyethylene surfaces have become more prevalent. Our patient presented with increased volume of the left thigh 8 years after hip arthroplasty revision surgery. Two years before the arising of the tumor in the thigh, a nodule in the inguinal region was investigated to rule out a malignant neoplastic process, but the results were inconclusive...
November 2015: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27174064/return-to-sports-activity-with-short-stems-or-standard-stems-in-total-hip-arthroplasty-in-patients-less-than-50-years-old
#9
Nicolandrea Del Piccolo, Chiara Carubbi, Alessandro Mazzotta, Giacomo Sabbioni, Mattia Filanti, Cesare Stagni, Dante Dallari
BACKGROUND: The aim of this study was to compare return to sport activity between a short femoral cementless stem and a conventional femoral cementless stem in total hip arthroplasty in patients 50 years old and younger. METHODS: We retrospectively reviewed 55 patients (61 hips) treated with a short femoral cementless stem and 28 patients (32 hips) treated with a conventional femoral cementless stem 50 years old and younger from December 2009 and December 2014.Their mean age was 39...
May 14, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/26878535/clinical-outcome-of-cemented-bipolar-hemiarthoplasty-versus-austin-moore-hemiarthroplasty-for-displaced-intracapsular-fractures-of-hip-in-terms-of-anterior-thigh-pain-in-elderly
#10
Ahmed Mushtaq Khan, Syed Faraz Anwar, Sohail Hafeez
OBJECTIVE: To explore a less pain-inciting implant in terms of anterior thigh pain after hip hemi-arthroplasty in displaced intra-capsular fractures of the neck of femur. METHODS: The cross-sectional comparative study was conducted at the Combined Military Hospital, Rawalpindi, from November 2013 to June 2014, and comprised patients of either genders with age above 55 years and having displaced intra-capsular fractures of the neck of femur. The patients were divided into two equal groups, with Group A patients undergoing Austin Moore hemi-arthoplasty and Group B having cemented bipolar hemi-arthoplasty...
November 2015: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/26775066/frequency-developing-time-intensity-duration-and-functional-score-of-thigh-pain-after-cementless-total-hip-arthroplasty
#11
Woo-Lam Jo, Young-Kyun Lee, Yong-Chan Ha, Moon-Seok Park, Sung-Hwa Lyu, Kyung-Hoi Koo
BACKGROUND: Although thigh pain is an annoying problem after total hip arthroplasty (THA), little information has been known about its natural course. METHODS: To determine the frequency, time of onset, and duration of thigh pain after cementless THA, we evaluated 240 patients (240 hips) who underwent primary THA because of femoral head osteonecrosis with the use of a single tapered stem. RESULTS: Twenty-seven patients (11.3%) experienced thigh pain during the follow-up of 3-11 years (mean, 84 months)...
June 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/26740433/three-year-follow-up-study-of-health-related-qol-and-lifestyle-indicators-for-japanese-patients-after-total-hip-arthroplasty
#12
Kimie Fujita, Kiyoko Makimoto, Masaaki Mawatari
BACKGROUND: In non-Western countries including Japan, activities requiring deep flexion of the hip joint, such as seiza (kneeling with calves tucked under the thighs and buttocks resting on the heels) and using squat toilets are commonly practiced. The purpose of this study was to assess longitudinal changes in traditional health-related quality of life measures and measures of physical functions associated with lifestyle for Japanese patients pre-surgery and after total hip arthroplasty...
March 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/26739137/prospective-clinical-and-radiostereometric-analysis-of-the-fitmore-short-stem-total-hip-arthroplasty
#13
Yves P Acklin, Raphael Jenni, Heinz Bereiter, Caroline Thalmann, Karl Stoffel
INTRODUCTION: Uncemented short, curved femoral stems may help save proximal bone stock during total hip arthroplasty (THA) and facilitate insertion in minimal invasive surgery. The aim of this 2 year, prospective, single-center study was to examine the stability and migration of the Fitmore (®) stem in THA using model-based radiostereometric analysis (RSA), and thus predict the implant's long-term survival. In addition, we evaluated the stem's clinical performance using standard clinical measures...
February 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/26733642/the-modern-hybrid-total-hip-arthroplasty-for-primary-osteoarthritis-at-the-hospital-for-special-surgery
#14
A González Della Valle, N Sharrock, M Barlow, L Caceres, G Go, E A Salvati
We describe our technique and rationale using hybrid fixation for primary total hip arthroplasty (THA) at the Hospital for Special Surgery. Modern uncemented acetabular components have few screw holes, or no holes, polished inner surfaces, improved locking mechanisms, and maximised thickness and shell-liner conformity. Uncemented sockets can be combined with highly cross-linked polyethylene liners, which have demonstrated very low wear and osteolysis rates after ten to 15 years of implantation. The results of cement fixation with a smooth or polished surface finished stem have been excellent, virtually eliminating complications seen with cementless fixation like peri-operative femoral fractures and thigh pain...
January 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/26708946/stable-fixation-of-a-madreporic-lord-femoral-prosthesis-at-31-year-follow-up-in-a-total-hip-arthroplasty-a-case-report
#15
Fernando M Judas, Joana Fonseca Ferreira, Rui Freitas Dias, Francisco M Lucas
INTRODUCTION: Lord total hip prosthesis was discontinued due to high revision rates of the smooth threaded acetabular component and negative effects of stress shielding in the proximal femur. PRESENTATION OF CASE: We report the outcome of a Lord cementless femoral stem, in a 55-year-old woman. In 1984, the patient underwent a Lord total hip arthroplasty for the treatment of advanced dysplastic osteoarthritis of the left hip. After 12 years, the cementless acetabular component of the prosthesis had been revised due to aseptic loosening...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/26692243/atypical-femoral-fracture-post-total-hip-replacement-in-a-patient-with-hip-osteoarthritis-and-an-ipsilateral-cortical-thickening
#16
Joaquin Moya-Angeler, Lester Zambrana, Geoffrey H Westrich, Joseph M Lane
INTRODUCTION: Atypical femoral fractures (AFF) can be present in patients with hip osteoarthritis (OA). This case highlights the opportunity to review the management of stress reactions, stress fractures and atypical femoral fractures, which depend on the activity of the fracture. CASE PRESENTATION: A 66-year-old female with a history of long-term bisphosphonate use underwent a total hip replacement for symptomatic osteoarthritis with a clinical presentation of right groin pain and radiographic signs of joint space narrowing and osteophyte formation...
March 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/26627999/cortical-hypertrophy-with-a-short-curved-uncemented-hip-stem-does-not-have-any-clinical-impact-during-early-follow-up
#17
Michael W Maier, Marcus R Streit, Moritz M Innmann, Marlis Krüger, Jan Nadorf, J Philippe Kretzer, Volker Ewerbeck, Tobias Gotterbarm
BACKGROUND: Short stems have become more and more popular for cementless total hip arthroplasty in the past few years. While conventional, uncemented straight stems for primary total hip arthroplasty (THA) have shown high survival rates in the long term, it is not known whether uncemented short stems represent a reasonable alternative. As cortical hypertrophy has been reported for short stems, the aim of this study was to determine the radiographic prevalence of cortical hypertrophy and to assess the clinical outcome of a frequently used short, curved hip stem...
December 1, 2015: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/26548515/technique-to-treat-iliopsoas-irritation-after-total-hip-replacement-thickening-of-articular-hip-capsule-through-an-abridged-direct-anterior-approach
#18
K Benad, C Delay, S Putman, J Girard, G Pasquier, H Migaud
Iliopsoas irritation due to acetabular cup component impingement following total hip arthroplasty (THA) is usually treated by infiltration or by distal iliopsoas tenotomy in case of recurrence; however, this can result in an active flexion deficit of the thigh. To prevent this complication, we developed an original technique that we performed between 2012 and 2014 in patients with recurrent impingement following extraarticular corticosteroid injections. This included 5 patients (mean age: 64 [53-75] years old) in whom we performed an ambulatory bursectomy by the Hueter approach and placed a polyglactin 910 (Vicryl™) mesh plate on the entire anterior hip capsule...
December 2015: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/26455140/-comparison-of-cementless-total-hip-arthroplasty-between-with-and-without-subtrochanteric-femoral-shortening-osteotomy-in-crowe-type-iv-developmental-dysplasia-of-hip
#19
COMPARATIVE STUDY
Zhendong Zhang, Wei Chai, Junlei Song, Fan Yang, Heng Li, Qingmeng Zhang, Chi Xu, Jiying Chen
OBJECTIVE: To investigate the clinical characteristic differences of cementless total hip arthroplasty (THA) between with and without subtrochanteric femoral shortening osteostomy in Crowe type IV developmental dysplasia of the hip (DDH). METHODS: Between January 2006 and March 2012, 21 patients (21 hips) with Crowe type IV DDH who underwent primary THA were enrolled according to inclusion criteria. According to whether subtrochanteric femoral shortening osteostomy was performed during THA or not, the patients were divided into 2 groups: THA with osteostomy group (n = 9) and THA without osteotomy group (n = 12)...
February 2015: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/26391262/four-year-results-of-summit-stems-for-total-hip-arthroplasty-in-japanese-patients
#20
Tomonori Tetsunaga, Toru Sato, Naofumi Shiota, Tomoko Tetsunaga, Yoshiki Okazaki, Kazuki Yamada
PURPOSE: A retrospective study to evaluate the clinical and radiographic outcome of the Summit primary total hip arthroplasty (THA) at a minimum follow-up of 4 years. METHODS: 87 hips in 84 Japanese patients underwent THA using Summit stems. 3 patients were lost to follow-up, and 4 patients were excluded because a Summit stem was judged to be inappropriate for their narrow femoral canals. The remaining 80 hips in 77 patients were evaluated. Mean age was 66 years (range, 33-86 y)...
November 2015: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
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