ArticleJournal of orthopaedic surgery and research2021
Malalignment and distal contact of short tapered stems could be associated with postoperative thigh pain in primary total hip arthroplasty.
Article in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 16 citations in OpenAlex.
- Femoral stem alignment and post-operative patient satisfaction: a retrospective analysis of total hip arthroplasty using computer-assisted equipment for placing cups.International orthopaedics · 2026Article
- Predictors of mid-term outcomes in 334 developmental dysplasia hips treated with total hip arthroplasty.BMC musculoskeletal disorders · 2025Article
- Factors Associated With Complications in 176 Crowe IV Hips Treated With Total Hip Arthroplasty.Orthopaedic surgery · 2025Article
- Radiographic and Clinical Outcomes After Direct Anterior Versus Mini Posterior Total Hip Arthroplasty.Arthroplasty today · 2025Article
- Standard versus short stem cemented ExeterArthroplasty (London, England) · 2023Article
- Article
- Mid-term outcomes after total hip arthroplasty in 106 Crowe II/III hips: different hip center positions.European journal of medical research · 2022Article
- Study on Pain Catastrophizing From 2010 to 2020: A Bibliometric Analysis via CiteSpace.Frontiers in psychology · 2021Review
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeShort tapered stem placement has been extensively employed in total hip arthroplasty (THA). Suboptimal fixation tends to cause postoperative complications, such as thigh pain. However, it remains unclear whether poor seating/alignment of short tapered stems contributes to thigh pain. In this study, we retrospectively examined the factors that might be associated with thigh pain.
methodsMedical records of 230 patients who had undergone THAs at our hospital were reviewed retrospectively. All patients received the same mediolateral (ML) short tapered femoral stems. The association between thigh pain and patients' demographics, radiographic findings, or the type of fitting of the femoral stems was investigated.
resultsIn our cohort, 68 patients (27.8%) presented with thigh pain. Among 203 type I fit patients, 62 (30.5%) developed thigh pain, while only 6 out of 43 (12.2%) type II fit patients had thigh pain, with the differences being statistically significant (x
conclusionMalalignment and improper seating of short tapered stems could be at least one of the reasons for post-THA thigh pain. The distal contact between the stem tip and the medial femoral cortex might result in thigh pain. Our study suggested that distal implant contact should be avoided, and stem alignment should be meticulously performed in the placement of ML short tapered femoral stems for THA.
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