The Prevalence of Groin Pain After Metal-on-Metal Total Hip Arthroplasty and Total Hip Resurfacing
Open Access
- 1 September 2010
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Clinical Orthopaedics and Related Research
- Vol. 468 (9), 2346-2356
- https://doi.org/10.1007/s11999-010-1356-y
Abstract
Groin pain after total hip arthroplasty (THA) or total hip resurfacing arthroplasty can be troubling for patients and surgeons. Potential sources of pain include infection, loosening, metal hypersensitivity, or impingement of bony structures or the iliopsoas tendon. We compared the rate of groin pain after THA or hip resurfacing using metal-on-metal to those of other bearing surfaces. We identified 347 (334 patients) primary total hip (n = 301) or resurfacing (n = 46) arthroplasties. Complete preoperative, operative, and postoperative data were available for 282 hips. We retrospectively reviewed the charts for the presence or absence of groin pain at a minimum of 1 year after surgery with a specific focus on etiologic factors. The minimum followup was 12 months (mean, 14 months; range 12 to 24 months). The rate of groin pain was 7% (15 of 217 patients) after THA with conventional bearing surfaces, 15% (4 of 26 patients) with metal-on-metal THA and 18% (7 of 39 patients) with total hip resurfacing. Younger patients were more likely to report groin pain postoperatively and more likely to have metal-on-metal bearing surfaces. Our data at short-term followup suggest increased rates of groin pain after metal-on-metal THA or resurfacing arthroplasty versus THA using polyethylene or ceramic bearing surfaces. The reasons are not clear but they appear to be associated with younger age. Potential factors include impingement, activity level and possibly higher expectations for patients receiving metal-on-metal bearing surfaces that may make those patients more likely to report postoperative pain. Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.Keywords
This publication has 28 references indexed in Scilit:
- Incidence of Groin Pain After Metal-on-Metal Hip ResurfacingClinical Orthopaedics and Related Research, 2010
- Patient Activity after Total Hip Arthroplasty Declines with Advancing AgeClinical Orthopaedics and Related Research, 2009
- Painful Impingement of the Hip Joint After Total Hip Resurfacing: A Report of Two CasesThe Journal of Arthroplasty, 2008
- Necrotic granulomatous pseudotumours in bilateral resurfacing hip arthoplasties: evidence for a type IV immune responseVirchows Archiv, 2008
- Iliopsoas impingement after total hip replacementThe Journal of Bone and Joint Surgery. British volume, 2007
- The femoral head/neck offset and hip resurfacingThe Journal of Bone and Joint Surgery. British volume, 2007
- Pain related to the psoas muscle after total hip replacementThe Journal of Bone and Joint Surgery. British volume, 2002
- Wear and Periprosthetic OsteolysisClinical Orthopaedics and Related Research, 2001
- Correlation of wear debris-induced osteolysis and revision with volumetric wear-rates of polyethylene: A survey of 8 reports in the literatureActa Orthopaedica, 2001
- Anterior iliopsoas impingement after total hip arthroplastyThe Journal of Arthroplasty, 1995