title: Anterior thigh pain after cementless total hip arthroplasty.
abstract: We compared the incidence of anterior thigh pain retrospectively following primary uncemented total hip replacement in 70 patients (78 hips) with osteoarthritis. In one group (38 hips), an Endoplus porous-coated, canal-filling prosthesis was inserted through an anterolateral approach. In the other group (40 hips), a Furlong hydroxyapatite-coated prosthesis was inserted through a posterior approach. The latter prosthesis has a relatively longer femoral stem and does not achieve diaphyseal press-fit contact. Three patients in the Furlong group had anterior thigh pain, which eventually resolved in two patients. In the Endoplus group, two patients developed anterior thigh pain; in both cases, there was an underlying cause, which had to be treated. Idiopathic anterior thigh pain is more common in non-canal-filling prostheses. When anterior thigh pain is noticed in canal-filling prosthesis, a search for and treatment of the cause will cure the pain. The hydroxyapatite coating did not prevent thigh pain in the Furlong group.
authors.affiliation: Department of Trauma and Orthopaedic, Airedale Hospital NHS Trust, Steeton, West Yorkshire, UK.
authors.forename: A A
authors.initials: AA
authors.lastname: Faraj
authors.forename: Mehmood
authors.initials: M
authors.lastname: Yousuf
mesh_terms: D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D001843:Bone Cements; D005260:Female; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery; D010149:Postoperative Pain / Q000209:etiology*; D011475:Prosthesis Failure; D012189:Retrospective Studies; D013848:Thigh; D016896:Treatment Outcome
chemical_list: D001843:Bone Cements