Risk Factors for Lateral Trochanteric Pain Following Anterior Approach Total Hip Arthroplasty.

Publication/Presentation Date

1-1-2024

Abstract

OBJECTIVES: The principal aim of our study is to investigate risk factors for lateral trochanteric pain (LTP) after direct anterior approach (DAA) primary total hip arthroplasty (THA).

METHODS: A retrospective case control study was developed from 542 patients who underwent primary THA over a 9-year period to form two patient cohorts. Two hundred and seventy-one patients diagnosed with LTP were matched with 271 controls. Chart review revealed patient demographics, surgical approach, and femoral components utilized. Change in limb length and offset were assessed through preoperative and postoperative radiographic measurements.

RESULTS: There was a higher proportion of current or former smokers in the LTP group (34.5% vs 21.74%, p=0.003). There was no significant difference in use of high offset stems vs. standard offset stems between groups (15.9% vs. 18.5%, p=0.494). However, the LTP group had significantly higher increase in both femoral offset (+3.55mm vs +1.79mm, p

CONCLUSION: An increase in total offset, femoral offset, and smoking history are factors associated with LTP after DAA primary THA.

Volume

12

Issue

9

First Page

631

Last Page

636

ISSN

2345-4644

Disciplines

Medicine and Health Sciences

PubMedID

39498224

Department(s)

Department of Surgery

Document Type

Article

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