Correlation Between Anterior Thigh Pain and Morphometric Mismatch of Femoral Stem

Overview

Journal Yeungnam Univ J Med

Specialty General Medicine

Date 2019 Oct 30

PMID 31661754

Citations 2

Authors

Haksun Chung

So Hak Chung

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

Mid-Term Outcomes of a Short Modular Neck-Preserving Cementless Hip Stem: A Retrospective Study With a 6-Year Minimum Follow-Up.

Carnovale M, De Meo D, Guarascio G, Martini P, Cera G, Persiani P Arthroplast Today. 2024; 27:101387.

PMID: 38707589 PMC: 11068503. DOI: 10.1016/j.artd.2024.101387.

Hydroxyapatite ceramic-coated femoral components in younger patients followed up for 27 to 32 years.

Upadhyay P, Shah N, Kumar V, Mirza S Bone Jt Open. 2024; 5(4):286-293.

PMID: 38591124 PMC: 11002557. DOI: 10.1302/2633-1462.54.BJO-2023-0136.R1.

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