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Journal of Bone and Joint Surgery - British Volume, Vol 74-B, Issue 1, 63-66
Copyright © 1992 by British Editorial Society of Bone and Joint Surgery

Articles

Thigh pain after cementless hip arthroplasty. Annoyance or ill omen

AC Campbell, CH Rorabeck, RB Bourne, D Chess, and L Nott

University Hospital, London, Ontario, Canada.

A retrospective review of 148 consecutive porous-coated hip arthroplasties (PCA) showed an incidence of thigh pain of 13% one year after surgery, and 22% at two years. Positive correlations were made with femoral stem subsidence (greater than 2 mm) and with distal periosteal and endosteal bone formation. No positive correlations were made with parameters of bone quality or component fit. Resolution of pain occurred in one-third and an anti-inflammatory agent produced partial relief in two-thirds of the patients. We conclude that thigh pain is secondary to stem instability with distal stress transfer in the absence of stable proximal fixation.


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(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General