@guipacker, is your father scheduled for any more tests or to try any different medications or coping strategies? We may have to take a vacation. We are in our 60 s and we are both too young LOL. The patient stated he experienced acute pain in the left hip and thigh while getting up from the bed. The anterior supine approach for total hip arthroplasty (THA) offers the advantage of operating through a true intravascular and intranervous plane, but it places the lateral femoral cutaneous … Thank you. Hello. If the implanted hip stem is not stable it can cause pain, classically in the groin and thigh. Over time, however, a hip replacement … While research has identified stem size, stem alignment, and differences in modulus of elasticity between implant and host bone as potential sources of thigh … Here is the website with their phone numbers http://www.mayoclinic.org/appointments. Amendola RL, Goetz DD, Liu SS, Callaghan JJ. Thanks again for all your help and please keep us posted, Hello @guipacker Welcome to Mayo Connect. Thigh Pain After Hip Replacement. Thank you. A femoral neck fracture is a fracture in the bone, just below the newly implanted ball joint. Will, another posting you may find helpful info for your father is http://mayocl.in/2bVSUwB. In the vast majority of cases, total hip replacement enables people to live more active lives without debilitating hip pain. version 3.3.6.2.3.3Page loaded in 0.840 seconds, "Hello @amber67, and welcome to Connect. Clin Orthop Relat Res. He showed them to us and they do look lighter in color than the other leg that is good. Had end of stem pain so they did total hip revision in may of 2016. Mihalko WM, Wimmer MA, Pacione CA, Laurent MP, Murphy RF, Rider C. Clin Orthop Relat Res. Outcomes of different bearings in total hip arthroplasty - implant survival, revision causes, and patient-reported outcome. No other statistically significant differences were found in the incidence of pain in the lower back, buttock, groin, trochanter, lateral thigh, or posterior thigh regions between the two cohorts. I have asked for cannibus oil but the medical profession is not ready for that yet. There are many people who undergo total hip replacement surgery (THR), and some people often complain about thigh pain after the procedure. 2014 Mar;472(3):943-50. doi: 10.1007/s11999-013-3354-3. Thank you so very much. Surgeon did a partial hip replacement. Preparing the Femoral Canal (Left image). I had a CAT scan done last week, still no answers for the pain. Went to orthopaedic Dr. last week. | Please enable it to take advantage of the complete set of features! As a medical student, it sounds like you are experiencing some difficulties with frustration and powerlessness yourself. Most hip replacements last an average of 20 to 25 years. According to the Bulletin of the NYU Hospital for Joint Diseases, a femoral neck fracture can develop after hip replacement surgery, which can result in pain 1. Risk factors for this include age (less than 50 years -- such people usually being more active), weight (more than 80 kilograms), and a high level of physical activity at any age. To begin replacing the femoral head, special rasps are used to shape and hollow out the femur to the exact shape of the final metal stem of the femoral … I am also inviting @success10, @chief917, @Adrainpalmer, @learningtolive2, to return and share their experiences with pain and recovery after a hip revision. Pain outcomes were compared between these two femoral stem options. He has had a bone scan, multiple MRI’s and blood tests to rule out infection and everything came back normal. I too have a permanent issue from a doctor’s mistake, but I ended up at Mayo in Minn, where they at least came up with a diagnosis and recommended physical therapy which I have been in weekly now for over 3 years. 2014 Dec;472(12):3747-58. doi: 10.1007/s11999-014-3816-2. Conclusion: Surgeon did a partial hip replacement. 2016 Oct;474(10):2115-22. doi: 10.1007/s11999-016-4759-6. Here is the...", End of stem pain after total hip replacement. If the pain is from stem movement in the upper femur, we would expect the pain … His trauma doctors are unable to determine the cause of his pain but it’s the same type of pain as this other person is reporting in this thread. I had a cortisone shot last week in hip area but did not help. Materials and methods: His opinion is that when I had total hip replacement he lengthend the leg to keep hip in place. Bone is removed and the femur is shaped to accept the femoral stem with attached prosthetic femoral head (ball). He is able to walk but experiences a 7/10 pain on a daily basis. I have heard about the ioil also but we are not a state that approve it. They think it is mostly nerve and muscle pain ,maybe the same as you. I have tried both medications also with no success. Loosening of the stem component is a late complication that most often occurs 5-10 years after total hip replacement. ... People who benefit from hip replacement surgery often experience one or more of the following: hip pain … Results: The influence of stem size and extent of porous coating on femoral bone resorption after primary cementless hip arthroplasty. Some hip replacements will last longer, while other hip implants can fail much sooner. Although aseptic loosening is always a possibility, extrinsic and other intrinsic … Death After Hip Replacement Surgery. Mild trauma can fracture the femur around a prosthesis stem, especially if the bone is osteoporotic. Many possibilities: There are a number of reasons why someone can have anterior thigh pain after total hip replacement. He is 60 now and experiences the exact same type of pain that you are describing. There are many different underlying etiologies … How have alternative bearings and modularity affected revision rates in total hip arthroplasty? Death in the 90 days after hip replacement is extremely rare. NCI CPTC Antibody Characterization Program. I had my resurfaced hip for approximately 16 months before symptoms developed, and my revision surgery was performed 17 months after … Does anyone know of a treatment for this. Occasionally hip replacement implants will fail immediately after surgery, but in other cases, patients may have implanted joints for 30 or more years with no problems.2 Decades ago, when joint replacement surgery was new, there were different facto… Thigh pain 5 years after a total hip replacement can be caused by a variety of conditions. A total of 1347 patients (1536 THA) met inclusion criteria for the study and surveys were returned for 820 of these THAs. The use of lateral DAA-THA for the treatment of end-stage hip disorders has good recent clinical efficacy, does not require special surgical beds and traction equipment, uses traditional … It can be confirmed with X-rays. 3 1996 Incidence of Thigh Pain After Uncemented Total Hip Arthroplasty as a Function of Femoral Stem Size Edward J. Vresilovic, MD, PhD,* William J. Hozack, MD,t$ and Richard H. Rothman, MD, PhD,~-$ Abstract: Two hundred seventy-one patients (297 primary total hip arthroplasties) were evaluated for thigh pain 2 years after … Clin Orthop Relat Res . All were negative. Eight months later after the revision, the same pain and still on walker, the pain at the stem along with the inner and outer thigh is so bad, it requires a walker or the leg will buckle and I will fall. Study subjects completed a pain drawing and scale questionnaire for the operative hip at least one year following surgery. Ant insight will be desply appreciated. Long-term results and bone remodeling after THA with a short, metaphyseal-fitting anatomic cementless stem. It is a serious complication that most often requires surgery. The purpose of this work was to determine whether there were differences in the pain experienced by patients treated with two design variants of a femoral stem during direct anterior THA. A periprosthetic hip fracture is a broken bone that occurs around the implants of a total hip replacement. It It has been 8 months and still having end of stem pain… NLM The pain is felt in both the hip area and the thigh when both parts of the prosthesis have become loose; if only the femoral component has been affected, the patient usually feels pain only in … After the cup is prepared, attention is then turned back to the femur. I am a 6th year medical student in here. He never did give and answer as to if this can cause so much pain. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. After undergoing total hip replacement surgery 2 years earlier, a 65-year-old man comes to the office complaining of left thigh pain. Schmalzreid introduced the concept of the effective joint space to include all periprosthetic regions that are accessible to joint fluid and thus particulate debris. Tramacet is really good for pain but I am worried about addiction. This site needs JavaScript to work properly. After removing the damaged femoral head, a metal stem is either cemented or "press fit" into the hollow center of the femur and a metal or ceramic ball is placed on the upper part of the stem, replacing the femoral head. This replacement of my hip was in 2015 due to arthritis. Osteonecrosis of the femoral head is a common debilitating cause of hip pain, particularly among patients in their third to sixth decades of life. I have had a bone scan, nerve conductor test and blood work to rule out infection, loose stem, and nerves. You have joined a wonderful online community that shares information in various health topics. Two- to 4-Year Followup of a Short Stem THA Construct: Excellent Fixation, Thigh Pain a Concern. I am Will from Brazil. 1987; (231):7-28. Epub 2013 Oct 26. … Given the anatomic disadvantage, dysplastic … A few patients who have had a hip replacement suffer chronic pain after the surgery. Groin pain can develop if the muscle that raises the hip rubs against the edge of the acetabular cup. The patient had an anterior hip replacement done 2 months ago by an outside physician. Charnley reported 0.23% femoral stem fracture following hip replacement, while an another study indicated a ratio as high as 11%. The surgeon may use bone cement to achieve this or a press fit technique hoping bone will grow into or onto the prosthesis. I assume you have never been at any Mayo site. The Journal of Arthroplasty Vol. CONCLUSION: Hip AP and Lat radiographs are usually taken to confirm fixation and alignment of the femoral stem after hip … Clin Orthop Relat Res. Presence of contact between the femoral stem and cortical bone was associated with postoperative anterior thigh pain. Had end of stem pain so they did total hip revision in may of 2016. I”ll pray for you to make the best decisions as to where to get possible help. Best wishes. While you bounce ideas off with amber67, you might want to check out the Caregiver’s group to meet others who are experiencing the same emotions you are regarding care for a loved one, http://mayocl.in/2h1ttpY. I am still on a cane and walker. | LO L. The Dr did give me a prescription for a physical therapist that does Dry Needling something similar to acupuncture. Femoral stem fracture is a devastating complication in hip replacement. Total hip replacement is one of the most successful procedures in all of medicine. Teresa. Those patients suffering extensive comorbidities and postoperative complications were excluded from analysis. These include a loose or unstable component (in the case of a partial hip, this refers only to a loose stem, while a total hip patient can experience pain for either a loose stem … Hip replacement … It is a serious complication that most often requires surgery. 11 No. Demographic data and UCLA activity scores were similar between cohorts of patients receiving the short- and standard-length components. I will keep you posted. This finding may be due to contact between the tip of the distal stem with the femoral diaphysis as has been theorized in previous research, which is circumvented with the short design variant. Thank you. Oh my goodness, I can not believe someone answered. I would like to introduce @mnpat, @grandmacheryl, @popolopo, and @sma1952, who have all had hip replacements and may be able to talk about their experience with recovery and pain related symptoms. 2017 Feb;475(2):375-383. doi: 10.1007/s11999-016-4974-1. Patients in the short-length cohort reported a significantly lower incidence of pain in the anterior thigh as compared to the standard-length cohort, 12% versus 19% respectively [p=0.007]. My father has had a bilateral total hip replacement 2 years ago due to steroids (kidney transplantation). Prevention and treatment information (HHS). He has been treated with OxyContin and Lyrica (Pregabalin) with little success. Background: Thigh pain is a variably reported symptom in the postoperative period following primary total hip arthroplasty (THA) with a well-fixed cementless femoral implant. Liked by Jen, Alumna Mentor, Teresa, Volunteer Mentor, hiskara. USA.gov. A 2017 study in The Journal of Bone and Joint Surgery, American Edition, looked at the mortality rate among 332,734 hip replacement … A few months after the partial in July 2015, I started having sever pain when I put pressure on the operated side to walk. Hard-on-Hard Bearings Are Associated With Increased Noise Generation in Young Patients Undergoing Hip Arthroplasty. The main long-term threat to hip replacements appears to … Clin Orthop Relat Res. | I know you are so busy, but please do not forget us on this site. Furthermore, he did not want a second hip replacement … How are you getting around after your hip revision, other than the pain? The goals of hip replacement surgery are to relieve pain, help the hip joint work better, and help you move better. Sometimes after a hip replacement… It It has been 8 months and still having end of stem pain. There was no difference in the number of patients experiencing moderate to severe intensity of anterior thigh pain between these two groups, 3% versus 5% respectively [p=0.36]. A cementless, single-taper wedge, titanium femoral component design available in short- and standard-length variations was used in all cases. I do not know what end of stem pain is but I still have lots of pain in the outside upper leg. Jen. I would like to introduce @mnpat,...", "Hello. Liked by Teresa, Volunteer Mentor, jjjames050, @amber67 Physical therapy is always a good idea. I am at my wits end. NIH @guipacker, thank you for jumping in to this discussion. @amber67 has been patient waiting for another with similar experiences and I am glad the two of you could Connect to share ideas/experiences. While the lower back and trochanteric region may be the most frequent areas of pain experienced in patients at one-year or more postoperative from direct anterior THA, a significantly higher incidence of anterior thigh pain is found in those patients treated with a standard-length stem design as compared to the short design. I can only speak for the Minnesota site, but they are incredible and I work in the medical field, however not in patient care. The only thing the Ortho can see is that when he compared the regular x-rays is that the bones on both sidee of the stem look weaker. Thank you for any help that you can give me Please ask me any questions that you need that may help. Femoral stem fractures used to be a common complication of first-generation forged stainless steel or casted cobalt chrome femoral … COVID-19 is an emerging, rapidly evolving situation. Anyone have any ideas on anything that can be done. When he did this, he stretched all the muscles and tendons in the thigh.