TOTBİD Dergisi

TOTBİD Dergisi

2021, Cilt 20, Sayı, 6     (Sayfalar: 644-653)

Management of painful and problematic total hip artroplasty

Mehmet Arazi 1, Harun Kütahya 2

1 Özel Konya Farabi Hastanesi, Ortopedi ve Travmatoloji Kliniği, Konya
2 Konya Ticaret Odası Karatay Üniversitesi Tıp Fakültesi,Ortopedi ve Travmatoloji Ana Bilim Dalı, Konya

DOI: 10.14292/totbid.dergisi.2021.99
Görüntüleme: 72
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İndirme : 64

Total hip arthroplasty (THA) gives very successful results in short and long term follow-ups when it is performed in accordance with the technique in appropriately selected patients. Nowadays, THA applications continue to be performed with an increasing frequency not only in our country but also all over the world. This means that the number of revisions will increase progressively. Despite advanced surgical techniques and modern implant designs, some patients continue to complain about persistent hip pain. A systematic way to find the source of the pain should be followed in these patients. While problems with acetabular component often cause groin pain, femoral component presents as anterior mid-thigh pain. Problems with trochanteric region cause lateral hip pain. Problems originating from lumbar spine causes posterior hip or buttock pain. A surgical intervention without revealing the source of the pain has a low chance of success. Detailed physical examination, sedimentation, C-reactive protein (CRP) rates, and plain radiographs are helpful for differential diagnosis. In some patients, methods such as joint aspiration, computed tomography, magnetic resonance imaging, and rarely bone scanning may be necessary. Treatment is directly related to find source of the pain, and often consists of surgical approaches.

Anahtar Kelimeler : total hip arthroplasty; pain; wear; loosening; infection