[End-of-stem pain in hip and knee arthroplasty].

[End-of-stem pain in hip and knee arthroplasty].
Orthopade. 2019 Nov 06;:
Authors: Ettinger M, Savov P, Windhagen H, Bühren V, Hungerer S
Abstract
End-of-stem pain after knee and hip arthroplasty with diaphyseal supportive stems is a frequently overlooked and potentially underestimated complication. A commonly recurring clinical phenome is the symptom-free interval after surgery of weeks to months, with new onset of symptoms under stress only later. The patient is often again reliant on walking sticks. End-of-stem pain is a diagnosis of exclusion. Pain is projected into the tip of the stem, and if differential diagnoses such as loosening are excluded, then the patient might be treated with a "bending-plate". Since bone cement has a similar elastic modulus to human cortical bone, a change of method to a cemented implant can also be expedient. In the primary situation, in addition to cemented stems, the use of "split-stems" could be useful. After revision surgery of any kind, a timely cessation of pain confirms the diagnosis.
PMID: 31696261 [PubMed - as supplied by publisher]

Source: Der Orthopade - November 5, 2019 Category: Orthopaedics Authors: Ettinger M, Savov P, Windhagen H, Bühren V, Hungerer S Tags: Orthopade Source Type: research