Thigh pain and total hip arthroplasty: Scintigraphy with 2.5-year followup

Paul J. Herzwurm, Stephen L. Simpson, Scott Duffin, Stephen G. Oswald, Frank R. Ebert

Research output: Contribution to journalArticle

Abstract

From January 1988 to May 1990, 60 patients underwent 68 total hip arthroplasties at the Eisenhower Army Medical Center. The authors excluded 11 patients (11 hips) in whom infection developed, who were lost to followup, or who had incomplete records, leaving 49 patients (57 hips) as the study population. The 35 uncemented and 22 cemented femoral stems were evaluated with technetium bone scans at 1 week. 6 months, 1 year, and 2.5 years after surgery. Patients with uncemented femoral stems had markedly more thigh pain and more radiopharmaceutical uptake around the stem tip at 2.5 years followup than did patients with cemented femoral stems. In addition, patients with thigh pain had more uptake around the stem tip and a higher incidence of bone hypertrophy around the stem tip than did those without thigh pain, suggesting stress transfer as a cause of thigh pain.

Original languageEnglish (US)
Pages (from-to)156-161
Number of pages6
JournalClinical Orthopaedics and Related Research
Issue number336
StatePublished - 1997
Externally publishedYes

Fingerprint

Thigh
Radionuclide Imaging
Arthroplasty
Hip
Pain
Hyperostosis
Radiopharmaceuticals
Technetium
Bone and Bones
Incidence
Infection
Population

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Herzwurm, P. J., Simpson, S. L., Duffin, S., Oswald, S. G., & Ebert, F. R. (1997). Thigh pain and total hip arthroplasty: Scintigraphy with 2.5-year followup. Clinical Orthopaedics and Related Research, (336), 156-161.

Thigh pain and total hip arthroplasty : Scintigraphy with 2.5-year followup. / Herzwurm, Paul J.; Simpson, Stephen L.; Duffin, Scott; Oswald, Stephen G.; Ebert, Frank R.

In: Clinical Orthopaedics and Related Research, No. 336, 1997, p. 156-161.

Research output: Contribution to journalArticle

Herzwurm, PJ, Simpson, SL, Duffin, S, Oswald, SG & Ebert, FR 1997, 'Thigh pain and total hip arthroplasty: Scintigraphy with 2.5-year followup', Clinical Orthopaedics and Related Research, no. 336, pp. 156-161.
Herzwurm PJ, Simpson SL, Duffin S, Oswald SG, Ebert FR. Thigh pain and total hip arthroplasty: Scintigraphy with 2.5-year followup. Clinical Orthopaedics and Related Research. 1997;(336):156-161.
Herzwurm, Paul J. ; Simpson, Stephen L. ; Duffin, Scott ; Oswald, Stephen G. ; Ebert, Frank R. / Thigh pain and total hip arthroplasty : Scintigraphy with 2.5-year followup. In: Clinical Orthopaedics and Related Research. 1997 ; No. 336. pp. 156-161.
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