Quesada-Jimenez Roger, Kahana-Rojkind Ady H, Domb Benjamin G
From the American Hip Institute Research Foundation (Dr. Quesada-Jimenez, Dr. Kahana-Rojkind, and Dr. Domb), and the American Hip Institute, Chicago, IL (Dr. Domb).
J Am Acad Orthop Surg Glob Res Rev. 2025 Sep 5;9(9). doi: 10.5435/JAAOSGlobal-D-25-00226. eCollection 2025 Sep 1.
Hip pain after a total hip arthroplasty is a prevalent condition. Once aseptic loosening and infection have been ruled out, the possible entities are vast. Accurate diagnosis in this patient population is challenging because they might present in different stages of their recovery process and the potential overlap of some conditions. Given the high expectations clinicians and patients have from hip arthroplasty, a multifaceted patient-specific approach is crucial to clinical decision making. Advances have been made to better stratify patients into the spectrum of management, which includes nonsurgical treatment, injections, such as orthobiologics, arthroscopic hip surgery, open surgery, and, in rare cases, revision total hip arthroplasty.
全髋关节置换术后的髋部疼痛是一种常见病症。一旦排除无菌性松动和感染，可能的病因种类繁多。对这类患者群体进行准确诊断具有挑战性，因为他们可能处于恢复过程的不同阶段，且某些病症存在潜在重叠。鉴于临床医生和患者对髋关节置换术寄予厚望，针对患者个体的多方面方法对于临床决策至关重要。在将患者更好地分层以进行不同管理方面已取得进展，这包括非手术治疗、注射（如骨科生物制剂）、髋关节镜手术、开放手术，以及在极少数情况下的全髋关节翻修术。
