Sayed-Noor A S, Sjoden G O
Department of Orthopaedic Surgery, Sundsvall Hospital, Sundsvall; Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.
Hip Int. 2006 Jul-Sep;16(3):202-6. doi: 10.1177/112070000601600304.
We evaluated any residual pain around the hip joint 11 to 23 months post-surgery in 172 consecutive patients who underwent total hip arthroplasty (THA) for primary or secondary osteoarthritis during 2002 at Sundsvall Hospital, Sweden. Patients with suspected greater trochanteric pain (GTP) were matched with controls from the same cohort. The two groups were assessed with the Western Ontario and McMaster Universities Arthrosis Index (WOMAC) and were examined for localised tenderness over the trochanteric area by algometer. The pre- and postoperative radiographs including femoral offset were evaluated. We found that 21 patients (12%) had GTP with a male to female ratio of 1:6. The WOMAC index revealed a reduction in the clinical outcome in this group. An associated factor of significance was postoperative uncorrected lengthening of the operated limb equal to or more than one centimetre. We found no correlation between the prevalence of GTP and body weight or length, femoral offset or size of the prosthetic components used.
我们评估了2002年在瑞典松兹瓦尔医院因原发性或继发性骨关节炎接受全髋关节置换术（THA）的172例连续患者术后11至23个月髋关节周围的残余疼痛情况。疑似大转子疼痛（GTP）的患者与同一队列中的对照组进行匹配。两组均采用西安大略和麦克马斯特大学骨关节炎指数（WOMAC）进行评估，并通过痛觉计检查转子区域的局部压痛情况。对包括股骨偏移在内的术前和术后X线片进行评估。我们发现21例患者（12%）患有GTP，男女比例为1:6。WOMAC指数显示该组临床结果有所下降。一个具有显著意义的相关因素是术后患侧肢体未矫正延长等于或超过1厘米。我们发现GTP的患病率与体重、身高、股骨偏移或所用假体部件的尺寸之间没有相关性。
