[Painful total hip arthroplasty].
The results of the total hip prostheses in terms of cost-efficiency make one of the surgical procedures the most efficient. Usually, the articular pains disappear completely and the patient function improves. Outside, turned out failures, which require a revision, some patients present residual pain persisting after the intervention or appearing secondarily. Considering the important number of total hip arthroplasties, this clinical situation is not so rare and the generalist, as the specialist, can be confronted there. The experience shows that the surgical revisions, in the absence of a precise diagnosis are disappointing and often do not improve the patient. This article presents the diagnostic and therapeutic steps advised to face this problem.
Zambelli
P-Y
PY
Hôpital orthopédique de la Suisse romande, 4, Av. Pierre Decker, 1005 Lausanne.
Fragnière
B
B
Leyvraz
P-F
PF
D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D003937:Diagnosis, Differential; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D010149:Postoperative Pain / Q000209:etiology*; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000175:diagnosis; D011859:Radiography; D011877:Radionuclide Imaging