Abstract:

BACKGROUND: Total hip arthroplasty is an effective measure for the treatment of various hip diseases. Due to the difficult implantation, pain and other complications after replacement, there is controversy in the diagnosis and treatment.
OBJECTIVE: To analyze the causes of hip pain after total hip arthroplasty and investigate relative prevention and treatment measures.
METHODS: The data of 21 patients (23 hips) with hip pain after total hip arthroplasty were collected, among them, 10 patients received conservative treatment, while the other 11 patients were given surgical treatment. The visual analogue scale score and Harris hip score were used to analyze the cause of hip pain after total hip arthroplasty.
RESULTS AND CONCLUSION: All the 21 patients were followed-up for 1-9 years. Among the 3 patients with intra-articular pain in the infected group, 2 patients were given conservative treatment and 1 was given second stage revision, infection was cured by follow-up, and postoperative visual analogue scale score was decreased while the Harris score was significantly increased when compared with those before replacement, and the difference was statistically significant (P < 0.05). In the non-infected group, 8 patients were treated with conservative treatment and 10 patients received surgical treatment, the visual analogue scale scone and Harris score were improved when compared with those before replacement, and the difference was significant (P < 0.05).