Kälicke T, Wick M, Frangen T M, Muhr G, Seybold D
Chirurgische Klinik und Poliklinik, Universitätsklinik, Berufsgenossenschaftliche Kliniken Bergmannsheil, Bochum.
Unfallchirurg. 2005 Dec;108(12):1078, 1080-2. doi: 10.1007/s00113-005-0981-5.
Pain following implantation of a total hip endoprosthesis is described in the literature with an incidence of 1-17.6%, depending on the type of prosthesis. The underlying causes are numerous; the primary reasons for such pain are septic and nonseptic loosening of the prosthesis, periarticular heterotopic ossifications, or trochanteric bursitis. Less common reasons are muscular hernia, squeezing of the joint capsule, distal nerve lesions, stress fractures, compartment syndromes, or neoplasia.One can find only a few reports about tendinitis of the iliopsoas muscle as a cause for pain following implantation of an endoprosthesis in total hip arthroplasty. We now report about a female patient with therapy-resistant pain after total hip replacement, caused by tendinitis of the iliopsoas muscle. We introduce the transpositioning of this tendon from the lesser trochanter to the proximal anterior femur and bony refixation with a PDS cord as a new operative treatment.
文献中描述了全髋关节假体植入后疼痛的发生率为1% - 17.6%，具体发生率取决于假体类型。其潜在原因众多；此类疼痛的主要原因是假体的感染性和非感染性松动、关节周围异位骨化或转子滑囊炎。较不常见的原因包括肌肉疝、关节囊受压、远端神经损伤、应力性骨折、骨筋膜室综合征或肿瘤形成。关于髂腰肌肌腱炎作为全髋关节置换术后假体植入后疼痛原因的报道仅有几例。我们现报告一名全髋关节置换术后因髂腰肌肌腱炎导致顽固性疼痛的女性患者。我们介绍了将该肌腱从小转子转移至股骨近端前方并用PDS线进行骨性重新固定的新手术治疗方法。
