title: Incidence and Location of Pain in Young, Active Patients Following Hip Arthroplasty.
abstract: Persistent pain following hip arthroplasty remains a concern, especially in young, active patients. Four hundred twenty patients less than 60 years of age with a pre-symptomatic UCLA score ≥ 6 (196 total hip arthroplasty [THA]; 224 surface replacement arthroplasty [SRA]) completed a pain-drawing questionnaire investigating the location, severity, and frequency of pain around the hip. At a mean of 2.9 years of follow-up, 40% reported pain in at least one location around the hip. There was no difference in the incidence of groin pain between SRA and THA patients (32% vs. 29%, P=0.6), but THA patients had a greater incidence of anterior (25% vs. 8%, P<0.001) and lateral (20% vs. 10%, P=0.01) thigh pain. A high percentage of young, active patients experience persistent pain following hip arthroplasty.
authors.affiliation: Washington University School of Medicine, Department of Orthopaedic Surgery, St. Louis, Missouri.
authors.forename: Denis
authors.initials: D
authors.lastname: Nam
authors.affiliation: Washington University School of Medicine, Department of Orthopaedic Surgery, St. Louis, Missouri.
authors.forename: Ryan M
authors.initials: RM
authors.lastname: Nunley
authors.affiliation: Allegheny Health Network, Pittsburgh, Pennsylvania.
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Sauber
authors.affiliation: Washington University School of Medicine, Department of Orthopaedic Surgery, St. Louis, Missouri.
authors.forename: Staci R
authors.initials: SR
authors.lastname: Johnson
authors.affiliation: Cleveland Clinic, Cleveland, Ohio.
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Brooks
authors.affiliation: Washington University School of Medicine, Department of Orthopaedic Surgery, St. Louis, Missouri.
authors.forename: Robert L
authors.initials: RL
authors.lastname: Barrack
mesh_terms: D000328:Adult; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D006114:Great Lakes Region / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D008923:Missouri / Q000453:epidemiology; D010147:Pain Measurement; D010149:Postoperative Pain / Q000453:epidemiology* / Q000209:etiology; D011446:Prospective Studies; D011795:Surveys and Questionnaires
keywords: activity; outcomes; pain; surface replacement arthroplasty; total hip arthroplasty