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Persistierende Schmerzen nach Hüftendoprothesen-Implantation

Painful total hip arthroplasty — operative and conservative therapy

  • FORTBILDUNG . ÜBERSICHT
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MMW - Fortschritte der Medizin Aims and scope

Nach einem künstlichen Hüftgelenksersatz klagen bis zu 6% der Patienten mit radiologisch unauffälligen Prothesen über Schmerzen im Operationsbereich. Hier ist eine sorgfältige Diagnostik essenziell, um die Ursachen benennen und das weitere Vorgehen planen zu können.

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Literatur

  1. Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. Lancet. 2007;370:1508–19.

    Article  Google Scholar 

  2. Fink B, Lass R. Diagnostic Algorithm for Failure Analysis of Painful Total Hip Arthroplasties. Z Orthop Unfall. 2016;154(5):527–44.

    Article  CAS  Google Scholar 

  3. Mariconda M, Galasso O, Costa GG et al. Quality of life and functionality after total hip arthroplasty: a longterm follow-up study. BMC Musculoskelet Disord. 2011;12:222.

    Article  Google Scholar 

  4. Wylde V, Hewlett S, Learmonth ID et al. Persistent pain after joint replacement: prevalence, sensory qualities, and postoperative determinants. Pain. 2011;152:566–72.

    Article  Google Scholar 

  5. Petrovic NM, Milovanovic DR, Ignjatovic Ristic D, Riznic N, Ristic B, Stepanovic Z. Factors associated with severe postoperative pain in patients with total hip arthroplasty. Acta Orthop Traumatol Turc}. 2014;486:615–22.

    Google Scholar 

  6. Zeng Y, Feng W, Li J, Lu L, Ma C, Zeng J, Li F, Qi X, Fan Y. A prospective study concerning the relationship between metal allergy and post-operative pain following total hip and knee arthroplasty. Int Orthop. 2014;38:2231–6.

    Article  Google Scholar 

  7. Schuh A, Lill C, Hönle W, Effenberger H. Prevalence of allergic reactions to implant materials in total hip and knee arthroplasty. Zentralbl Chir. 2008;133:292–6.

    Article  CAS  Google Scholar 

  8. Schuh A, Thomas P, Holzwarth U, Zeiler G. Bilateral localized osteolysis after cemented total hip replacement. Orthopade. 2004;33:727–32.

    CAS  PubMed  Google Scholar 

  9. Hönle W, Scheller A, Lerzer S, Schuh A. Clinical examination of the hip joint. MMW Fortschr Med. 2018;160(17):56–61.

    Article  Google Scholar 

  10. Abdulkarim A, Keegan C, Bajwa R, Sheehan E. Lateral trochanteric pain following total hip arthroplasty: radiographic assessment of altered biomechanics as a potential aetiology. Ir J Med Sci. 2018;187:663–8.

    Article  Google Scholar 

  11. Schuh A, Schraml A, Zeiler G. Impingement of the iliopsoas muscle after revision of a loosened acetabular cup with an acetabular reinforcement ring. Zentralbl Chir. 2003;128:209–11.

    Article  CAS  Google Scholar 

  12. Werber S, Baur W, Hönle W, Stauner K, Schuh A. Impingement-Syndrom des Iliopsoas nach Hüfttotalendoprothesenimplantation - Eine Falldarstellung. Orthopädische Praxis 2004;40: 254–257.

    Google Scholar 

  13. White PB, Ramkumar PN, Meftah M, Ghazi N, Ranawat AS, Ranawat CS. Incidence of Heterotopic Ossification Following a Multimodal Pain Protocol in Total Hip Arthroplasty With the Posterior Approach. Orthopedics. 2018 Jan 1;41(1):e92–e97.

    Article  Google Scholar 

  14. Patton RS, Runner RP, Lazarus D, Bradbury TL. Femoral neuropathy following direct anterior total hip arthroplasty: an anatomic review and case series. J Surg Case Rep. 2018 Sep 6;2018(9):rjy171. doi: https://doi.org/10.1093/jscr/rjy171. eCollection 2018 Sep.

    Article  Google Scholar 

  15. Park C, Ikram A, Abdul-Jabar HB, Radford WJP. Sciatic nerve neuritis of no cause in primary total hip replacement: A case series. J Clin Orthop Trauma. 2019 Jan-Feb;10(1):121–123.

    Article  Google Scholar 

  16. Schuh A, Riedel F, Craiovan B, Zeiler G. Delayed neuropathy of the sciatic nerve after total hip replacement with an acetabular reinforcement ring. Zentralbl Chir. 2003 Oct;128(10):871–3.

    Article  CAS  Google Scholar 

  17. Schuh A, Werber S, Zeiler G, Craiovan B. Femoral nerve palsy due to excessive granuloma in aseptic cup loosening in cementless total hip arthroplasty. Zentralbl Chir. 2004 Oct;129(5):421–3.

    Article  CAS  Google Scholar 

  18. Hargunani R, Madani H, Khoo M, Fotiadou A, Pressney I, Calleja M, O’Donnell P. Imaging of the Painful Hip Arthroplasty. Can Assoc Radiol J. 2016 Nov;67(4):345–355.

    Article  Google Scholar 

  19. Shemesh SS, Moucha CS, Keswani A, Maher NA, Chen D, Bronson MJ. Trochanteric Bursitis Following Primary Total Hip Arthroplasty: Incidence, Predictors, and Treatment. J Arthroplasty. 2018 Apr;33(4):1205–1209.

    Article  Google Scholar 

  20. Rompe JD, Segal NA, Cacchio A et al. Home training, local corticosteroid injection, or radial shock wave therapy for greater trochanter pain syndrome. Am J Sports Med 2009;37: 1981–1990

    Article  Google Scholar 

  21. Schuh A, Handschu R, Eibl T, Janka M, Hönle W. Meralgia paraesthetica (Bernhardt-Roth syndrome)]. MMW Fortschr Med. 2017 Nov;159(19):66–68.

    Article  Google Scholar 

  22. Schuh A, Zeiler G, Holzwarth U, Aigner T. Malignant fibrous histiocytoma at the site of a total hip arthroplasty. Clin Orthop Relat Res. 2004 Aug;(425):218–22.

    Google Scholar 

  23. Winkler T, Trampuz A, Hardt S, Janz V, Kleber C, Perka C. Periprosthetic infection after hip arthroplasty. Orthopade. 2014 Jan;43(1):70–8.

    Article  CAS  Google Scholar 

  24. Baur W, Hönle W, Willert HG, Schuh A. Pathological findings in tissue surrounding revised metal/metal articulations. Orthopade. 2005 Mar;34(3):225–6, 228-33.

    Article  CAS  Google Scholar 

  25. Di Benedetto P, Niccoli G, Magnanelli S, Beltrame A, Gisonni R, Cainero V, Causero A. Arthroscopic treatment of iliopsoas impingement syndrome after hip arthroplasty. Acta Biomed. 2019 Jan 10;90(1-S):104–109.

    PubMed  Google Scholar 

  26. Winkler S, Craiovan B, Wagner F, Weber M, Grifka J, Renkawitz T. Pathogenesis and prevention strategies of heterotopic ossification in total hip arthroplasty: a narrative literature review and results of a survey in Germany. Arch Orthop Trauma Surg. 2015 Apr;135(4):481–9.

    Article  CAS  Google Scholar 

  27. Robertson-Waters E, Berstock JR, Whitehouse MR, Blom AW. Surgery for greater trochanteric pain syndrome after total hip replacement confers a poor outcome. Int Orthop. 2018 Jan;42(1):77–85

    Article  Google Scholar 

  28. Fink B, Braun L. Treatment of Extensive Gluteus Muscle Tears With Transosseous Fixation and a Nonresorbable Collagen Patch. J Arthroplasty. 2018 Feb;33(2):555–559.

    Article  Google Scholar 

  29. Brun OC, Maansson L. Fractures of the greater trochanter following total hip replacement. Hip Int. 2013 Mar-Apr;23(2):143–6.

    Article  Google Scholar 

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Authors and Affiliations

  1. Muskuloskelettales Zentrum Klinikum Neumarkt, Akademisches Lehrkrankenhaus der Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberger Str. 12, D-92318, Neumarkt i. d. OPf., Deutschland

    Wolfgang Hönle,  Alexander Scheller,  Tarun Goyal &  Alexander Schuh

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  1. Wolfgang Hönle
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  2. Alexander Scheller
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  3. Tarun Goyal
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  4. Alexander Schuh
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Correspondence to Wolfgang Hönle.

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Hönle, W., Scheller, A., Goyal, T. et al. Persistierende Schmerzen nach Hüftendoprothesen-Implantation. MMW - Fortschritte der Medizin 161, 66–70 (2019). https://doi.org/10.1007/s15006-019-1064-9

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  • DOI: https://doi.org/10.1007/s15006-019-1064-9

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