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Radiographic parameters associated with pain following total hip and surface arthroplasty.
Nam, Denis; Sauber, Timothy J; Barrack, Toby; Johnson, Staci R; Brooks, Peter J; Nunley, Ryan M.
Affiliation
  • Nam D; Washington University School of Medicine/Barnes-Jewish Hospital, St. Louis, Missouri.
  • Sauber TJ; Allegheny General Hospital, Pittsburgh, Pennsylvania.
  • Barrack T; Washington University School of Medicine/Barnes-Jewish Hospital, St. Louis, Missouri.
  • Johnson SR; Washington University School of Medicine/Barnes-Jewish Hospital, St. Louis, Missouri.
  • Brooks PJ; Cleveland Clinic, Cleveland, Ohio.
  • Nunley RM; Washington University School of Medicine/Barnes-Jewish Hospital, St. Louis, Missouri.
J Arthroplasty ; 30(3): 495-501, 2015 Mar.
Article in En | MEDLINE | ID: mdl-25456636
ABSTRACT
Pain following total hip arthroplasty (THA) and surface arthroplasty (SRA) remains a significant source of patient dissatisfaction. Two hundred twenty-four SRA and 196 THA patients completed a pain drawing questionnaire and postoperative radiographic measurements of component positioning were performed. In the SRA cohort, 11 of 21 patients (52%) with acetabular uncoverage of ≥5 mm versus 43 of 147 (29%) with acetabular uncoverage of ≤4.9 mm reported groin pain (P=.03). In the THA cohort, an increased distal-third canal fill ratio and a lower canal calcar ratio trended towards a higher incidence of thigh pain (P=.10 and .06), while a decreased mid-third canal fill ratio was associated with increased severity of thigh pain (P=.04). This study identifies associations between radiographic findings and pain following THA and SRA.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pain, Postoperative / Arthroplasty, Replacement, Hip / Femur / Hip Joint / Joint Diseases / Acetabulum Type of study: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Adult / Humans Language: En Journal: J Arthroplasty Journal subject: ORTOPEDIA Year: 2015 Document type: Article

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pain, Postoperative / Arthroplasty, Replacement, Hip / Femur / Hip Joint / Joint Diseases / Acetabulum Type of study: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Adult / Humans Language: En Journal: J Arthroplasty Journal subject: ORTOPEDIA Year: 2015 Document type: Article