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JYMS : Journal of Yeungnam Medical Science

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Haksun Chung 1 Article
Correlation between anterior thigh pain and morphometric mismatch of femoral stem
Haksun Chung, So Hak Chung
Yeungnam Univ J Med. 2020;37(1):40-46.   Published online September 16, 2019
DOI: https://doi.org/10.12701/yujm.2019.00325
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  • 2 Crossref
AbstractAbstract PDF
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.

Citations

Citations to this article as recorded by  
  • Hydroxyapatite ceramic-coated femoral components in younger patients followed up for 27 to 32 years
    Piyush K. Upadhyay, Nirav Shah, Vishal Kumar, Saqeb B. Mirza
    Bone & Joint Open.2024; 5(4): 286.     CrossRef
  • Mid-Term Outcomes of a Short Modular Neck-Preserving Cementless Hip Stem: A Retrospective Study With a 6-Year Minimum Follow-Up
    Michele Carnovale, Daniele De Meo, Giovanni Guarascio, Paolo Martini, Gianluca Cera, Pietro Persiani, Vittorio Candela, Stefano Gumina, Ciro Villani
    Arthroplasty Today.2024; 27: 101387.     CrossRef

JYMS : Journal of Yeungnam Medical Science