Hip pain many years after fusion: a report of two cases.
Arthrodesis of the hip has been employed since the late 19th century. Late complications can arise decades after fusion in patients who were previously asymptomatic. We describe two patients who developed pain in the hip many years after a successful fusion. There was no infection or loosening of the implants. After careful investigation, including oblique radiographs and diagnostic injections of local anaesthetic, the pain was found to be caused by protrusion of the implant. Subsequent removal of the device resulted in complete resolution of the symptoms.
Wong
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K
Department of Orthopaedics and Traumatology, Queen Mary Hospital, Hong Kong, SAR, China. shinoske@netvigator.com
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D000368:Aged; D001174:Arthrodesis / Q000009:adverse effects*; D001858:Bone Nails / Q000009:adverse effects; D020878:Device Removal / Q000379:methods; D005260:Female; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology*; D011475:Prosthesis Failure; D013997:Time Factors; D016896:Treatment Outcome