In the Journals

Many young, active patients reported pain after THA, surface replacement arthroplasty

Regardless of whether patients underwent total hip arthroplasty or surface replacement arthroplasty, 40% of young and active patients in this study experienced pain around the hip following surgery.

A pain-drawing questionnaire investigating the location, severity and frequency of pain around the hip was completed by 420 patients younger than 60 years with a pre-symptomatic University of California, Los Angeles score of 6 or greater who underwent either total hip arthroplasty (THA) or surface replacement arthroplasty.

Both THA and surface replacement arthroplasty groups most commonly reported the presence trochanteric pain (37% and 35%, respectively) with 17% in the THA group and 13% in the surface replacement group noting moderate to severe pain. Researchers also found 31% of patients in the THA group and 27% in the surface replacement group experienced lower back pain, while 29% of THA patients and 32% of surface replacement patients experienced groin pain.

However, patients who underwent THA experienced greater overall incidence of anterior thigh pain, the presence of moderate to severe anterior thigh pain, the incidence of lateral thigh pain and the presence of moderate to severe lateral thigh pain compared with patients who underwent surface replacement arthroplasty, according to results. – by Casey Tingle

Disclosures: Nam has stock options with OrthAlign Inc. and received research support from EOS. Please see the full study for a list of all other authors’ relevant financial disclosures.

Regardless of whether patients underwent total hip arthroplasty or surface replacement arthroplasty, 40% of young and active patients in this study experienced pain around the hip following surgery.

A pain-drawing questionnaire investigating the location, severity and frequency of pain around the hip was completed by 420 patients younger than 60 years with a pre-symptomatic University of California, Los Angeles score of 6 or greater who underwent either total hip arthroplasty (THA) or surface replacement arthroplasty.

Both THA and surface replacement arthroplasty groups most commonly reported the presence trochanteric pain (37% and 35%, respectively) with 17% in the THA group and 13% in the surface replacement group noting moderate to severe pain. Researchers also found 31% of patients in the THA group and 27% in the surface replacement group experienced lower back pain, while 29% of THA patients and 32% of surface replacement patients experienced groin pain.

However, patients who underwent THA experienced greater overall incidence of anterior thigh pain, the presence of moderate to severe anterior thigh pain, the incidence of lateral thigh pain and the presence of moderate to severe lateral thigh pain compared with patients who underwent surface replacement arthroplasty, according to results. – by Casey Tingle

Disclosures: Nam has stock options with OrthAlign Inc. and received research support from EOS. Please see the full study for a list of all other authors’ relevant financial disclosures.