摘要
Abstract
Objective Toinvestigatetheinfluencefactorsforpostoperativehippainamongpatientswhohadprimary totalhiparthroplasty(THA),andthepreventionmeasuresandtreatmentmethods.Methods 229cases(238hips)whohad primary THA from January 2006 to January 2012 in our hospital were followed up,155 cases(164 hips)were available at last, the follow-up rate was 67. 7%(155/229),the average duration of follow-up were 3. 7 years(1~6 years). The Charnley hip scoring system was used for initial screening,then Harris score system was used for further screening,the reason for postoper-ative hip pain among 17 cases ( 18 hips ) was further analyzed, the degree of pain was evaluated by visual analogue scale (VAS).Results 17patients(18hips)hadpostoperativehippain,thecauseofpain:intra-articularfactors(8cases, 47. 1%),including 3 cases(17. 6%)of dislocation(3 hips),2 cases(11. 8%)of infection(2 hips),2 cases(11. 8%) of aseptic inflammation(3 hips),1 case(5. 9%)of prosthesis loosening(1 hip);Extra - articular factors(4 cases, 23. 5%),including 3 cases(17. 6%)of lumbar-originated diseases(3 hips),1 case(5. 9%)of heterotopic ossification (1 hip);Other reasons(5 cases,29. 4%),including 2 cases(11. 8%)caused by psychological and spiritual factors(2 hips),3cases(17.6%)withunknownreason(3hips).℅onclusion Manyintra-articularandextra-articularfactorscan cause pain after THA,dislocation,infection,prosthesis loosening,and instability are the main factors. The pain caused by psy-chological and spiritual factors is easily ignored by doctors,unexplained pain is a difficult problem in clinical diagnosis and pre-vention at present.关键词
关节成形术,置换,髋/疼痛,手术后/疼痛原因/随访研究Key words
Arthroplasty,replacement,hip/Pain,postoperative/Causeofpain/Follow-upstudies分类
医药卫生
