Lam Y F, Chan P K, Fu H, Yan C H, Chiu K Y
Department of Orthopaedics and Traumatology, Princess Margaret Hospital, Laichikok, Hong Kong.
Department of Orthopaedics and Traumatology, Queen Mary Hospital, Pokfulam, Hong Kong.
Hong Kong Med J. 2016 Dec;22(6):600-7. doi: 10.12809/hkmj164969. Epub 2016 Oct 31.
Total hip arthroplasty is effective in reducing pain and improving functional outcome for a variety of hip pathologies. Approximately 27% patients, however, complain of pain at 6 months' follow-up following surgery. The pain may worsen over time and can become severe and chronic in around 4% of patients who ultimately require revision surgery. Therefore, it is important for clinicians to comprehensively assess patients undergoing total hip arthroplasty in order to identify the underlying pathology of a painful hip and then offer prompt treatment. Causes of hip pain after total hip arthroplasty are analysed in this article, as well as the systematic approach to evaluation and appropriate diagnostic investigations.
全髋关节置换术对于减轻多种髋关节病变患者的疼痛及改善功能预后有效。然而，约27%的患者在术后6个月随访时仍主诉疼痛。随着时间推移，疼痛可能会加重，最终约4%的患者疼痛会变得严重且呈慢性，这些患者最终需要翻修手术。因此，临床医生全面评估接受全髋关节置换术的患者，以确定疼痛性髋关节的潜在病因并及时给予治疗非常重要。本文分析了全髋关节置换术后髋关节疼痛的原因，以及评估的系统方法和适当的诊断性检查。
