The painful total hip replacement: diagnosis and deliverance.

  • Lanting B
  • MacDonald S
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Abstract

Total hip replacement (THR) is a very common procedure undertaken in up to 285 000 Americans each year. Patient satisfaction with THR is very high, with improvements in general health, quality of life, and function while at the same time very cost effective. Although the majority of patients have a high degree of satisfaction with their THR, 27% experience some discomfort, and up to 6% experience severe chronic pain. Although it can be difficult to diagnose the cause of the pain in these patients, this clinical issue should be approached systematically and thoroughly. A detailed history and clinical examination can often provide the correct diagnosis and guide the appropriate selection of investigations, which will then serve to confirm the clinical diagnosis made. Cite this article: Bone Joint J 2013;95-B, Supple A:70–3. Total hip replacement (THR) is a very common procedure undertaken for 285 000 Americans each year. 1 Patient satisfaction with THR is very high including reported improvements in general health, quality of life, and function 2 whilst being very cost effective. 3 A minority of 27% experience some discomfort, and up to 6% experience severe chronic pain. 4 Although it can be difficult to diagnose the cause of the pain in these patients, careful analysis can often result in a specific diagnosis being reached.

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