Radiographic parameters associated with pain following total hip and surface arthroplasty.

Autor: 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.
Jazyk: angličtina
Zdroj: The Journal of arthroplasty [J Arthroplasty] 2015 Mar; Vol. 30 (3), pp. 495-501. Date of Electronic Publication: 2014 Oct 08.
DOI: 10.1016/j.arth.2014.10.005
Abstrakt: 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.
(Copyright © 2014 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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