Evaluation and Treatment of Thigh Pain Following Total Hip Arthroplasty

Hannah I. Travers; Mikhail Kuznetsov; Peter B. White; Tyler E. Calkins; Eric L. Smith

doi:10.1007/978-3-031-83959-7_60

Evaluation and Treatment of Thigh Pain Following Total Hip Arthroplasty

Hannah I. Travers
, Mikhail Kuznetsov
, Peter B. White
, Tyler E. Calkins
, Eric L. Smith

Division of Reconstruction and Hip Preservation

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

Abstract

Thigh pain following total hip arthroplasty (THA) is frequent in the revision setting due to the use of long, cementless components. The etiology of persistent thigh pain can be divided into intrinsic issues, such as aseptic or septic loosening, and extrinsic, including periarticular and extra-articular conditions. Diagnostic evaluation requires thorough patient history, physical examination, laboratory and radiological techniques to identify underlying causes. Treatment ranges from conservative approach for well-fixed implants to invasive surgical procedures including femoral strut allograft and full revision in cases of persistent severe pain.

Original language	English
Title of host publication	Revision Total Hip Arthroplasty
Publisher	Springer Science+Business Media
Pages	513-521
Number of pages	9
ISBN (Electronic)	9783031839597
ISBN (Print)	9783031839580
DOIs	https://doi.org/10.1007/978-3-031-83959-7_60
State	Published - Jan 1 2025

Keywords

Modulus mismatch
Revision hip arthroplasty
Stress shielding
Thigh pain
Well-fixed stems

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10.1007/978-3-031-83959-7_60

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abstract = "Thigh pain following total hip arthroplasty (THA) is frequent in the revision setting due to the use of long, cementless components. The etiology of persistent thigh pain can be divided into intrinsic issues, such as aseptic or septic loosening, and extrinsic, including periarticular and extra-articular conditions. Diagnostic evaluation requires thorough patient history, physical examination, laboratory and radiological techniques to identify underlying causes. Treatment ranges from conservative approach for well-fixed implants to invasive surgical procedures including femoral strut allograft and full revision in cases of persistent severe pain.",

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AU - White, Peter B.

AU - Calkins, Tyler E.

AU - Smith, Eric L.

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AB - Thigh pain following total hip arthroplasty (THA) is frequent in the revision setting due to the use of long, cementless components. The etiology of persistent thigh pain can be divided into intrinsic issues, such as aseptic or septic loosening, and extrinsic, including periarticular and extra-articular conditions. Diagnostic evaluation requires thorough patient history, physical examination, laboratory and radiological techniques to identify underlying causes. Treatment ranges from conservative approach for well-fixed implants to invasive surgical procedures including femoral strut allograft and full revision in cases of persistent severe pain.

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KW - Stress shielding

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KW - Well-fixed stems

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ER -

Evaluation and Treatment of Thigh Pain Following Total Hip Arthroplasty

Abstract

Keywords

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