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

Identifieur interne : 000347 ( Main/Exploration ); précédent : 000346; suivant : 000348

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

Auteurs : Denis Nam [États-Unis] ; Timothy J. Sauber [États-Unis] ; Toby Barrack [États-Unis] ; Staci R. Johnson [États-Unis] ; Peter J. Brooks [États-Unis] ; Ryan M. Nunley [États-Unis]

Source :

RBID : pubmed:25456636

Descripteurs français

English descriptors

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.

DOI: 10.1016/j.arth.2014.10.005
PubMed: 25456636


Affiliations:


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Le document en format XML

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<term>Arthroplasty, Replacement, Hip (adverse effects)</term>
<term>Femur (diagnostic imaging)</term>
<term>Femur (surgery)</term>
<term>Hip Joint (diagnostic imaging)</term>
<term>Hip Joint (surgery)</term>
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<term>Articulation de la hanche ()</term>
<term>Articulation de la hanche (imagerie diagnostique)</term>
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<term>Fémur (imagerie diagnostique)</term>
<term>Humains</term>
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<term>Prothèse de hanche</term>
<term>Radiographie</term>
<term>Études prospectives</term>
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<term>Femur</term>
<term>Hip Joint</term>
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<term>Articulation de la hanche</term>
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<div type="abstract" xml:lang="en">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.</div>
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<name sortKey="Nam, Denis" sort="Nam, Denis" uniqKey="Nam D" first="Denis" last="Nam">Denis Nam</name>
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