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Updated: May 23, 2026

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Painful hip arthroplasty: definition.

Paolo Ferrata1, Serafino Carta, Mattia Fortina

  • 1Orthopaedics and Traumatology Clinic, University Hospital of Siena, Siena, Italy.

Clinical Cases in Mineral and Bone Metabolism : the Official Journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases
|March 31, 2012
PubMed
Summary

Many patients experience persistent hip pain after total hip arthroplasty (THA). This study identifies factors negatively impacting outcomes and outlines a differential diagnosis for post-THA hip pain.

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Area of Science:

  • Orthopedic Surgery
  • Pain Management
  • Rehabilitation

Background:

  • Total hip arthroplasty (THA) is a common procedure for improving hip pain and function.
  • A subset of patients report persistent hip pain following elective THA.
  • Identifying the source of this residual pain is clinically challenging.

Purpose of the Study:

  • To investigate prognostic factors associated with poor outcomes after THA.
  • To explore the differential diagnosis of hip pain in the context of THA.
  • To categorize potential causes of hip pain based on radiographic findings.

Main Methods:

  • Systematic review of literature on post-THA hip pain.
  • Analysis of clinical case studies.
  • Categorization of pain etiologies with and without radiographic evidence.
Keywords:
complicationepidemiologypainrevisiontotal hip arthroplasty

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Main Results:

  • Hip pain post-THA can stem from various non-prosthetic sources, including the lumbosacral spine, referred visceral pain, and soft tissue pathologies.
  • Soft tissue causes include trochanteric bursitis, tendinitis, hip abductor dysfunction, and inguinal hernia.
  • Accurate diagnosis requires a comprehensive differential approach, considering both radiographic and non-radiographic factors.

Conclusions:

  • Persistent hip pain after THA necessitates a thorough differential diagnosis beyond prosthetic complications.
  • Understanding the diverse origins of hip pain is crucial for effective patient management.
  • A structured diagnostic approach aids in identifying treatable causes of post-THA hip pain.