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Review
. 2013 Jan;37(1):1-7.
doi: 10.1007/s00264-012-1711-6. Epub 2012 Nov 23.

Assessment and management of chronic pain in patients with stable total hip arthroplasty

Tim Classen  1 , Daniela Zaps, Stefan Landgraeber, Xinning Li, Marcus Jäger
Affiliations
Review

Assessment and management of chronic pain in patients with stable total hip arthroplasty

Tim Classen et al. Int Orthop. 2013 Jan.

Abstract

Total hip arthroplasty (THA) is one of the most successful operations that can restore function and relieve pain. Although a majority of the patients achieve significant pain relief after THA, there are a number of patients that develop chronic pain for unknown reasons. A literature search was performed looking for chronic pain after total hip arthroplasty and stable THA. Major causes of chronic pain include aseptic loosening or infection. However, there is a subset of patients with a stable THA that present with chronic pain which can have several aetiologies. These include soft tissue, bony, neurological, vascular and psychological causes. Essential for successful treatment is the ability to make the correct diagnosis. Thus therapy may be either non-operative or operative. In addition, diagnosis and management often may require multidisciplinary approaches to successfully alleviate chronic pain in these patients with a stable prosthesis.

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Figures

Fig. 1
Fig. 1
Increasing the offset with a modular system because of mechanical impingement of THA
Fig. 2
Fig. 2
Heterotopic ossifications after THA (Brooker classification IV)
Fig. 3
Fig. 3
Stress shielding of the proximal femur
See this image and copyright information in PMC

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