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A positive hip arthrogram may predict lower function in patients with primary hip arthroplasty.

Jason B T Lim¹, Lynne Horey, Sanjeev Patil

¹Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore. limbengteck85@yahoo.com.sg

Clinical Orthopaedics and Related Research

|January 29, 2013

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A local anesthetic hip arthrogram helps identify hip pain origin but doesn't guarantee better outcomes after hip replacement surgery. Patients receiving the arthrogram reported lower functional scores post-surgery compared to those without it.

Area of Science:

Orthopedic surgery
Pain management
Diagnostic imaging

Background:

A local anesthetic hip arthrogram is used to diagnose hip pain origin.
Temporary pain relief from the arthrogram may influence surgical recommendations.
The correlation between arthrogram-indicated pain relief and postoperative outcomes is not well-established.

Purpose of the Study:

To compare functional outcomes in patients who underwent total hip arthroplasty (THA) after a positive hip arthrogram versus those with typical osteoarthritis who had THA without a prior arthrogram.

Main Methods:

Retrospective review of 22 patients with a positive hip arthrogram before THA and 74 control patients with osteoarthritis undergoing THA.
Patients completed the Oxford Hip Score, WOMAC™ function short form, and SF-12 preoperatively and postoperatively.

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Minimum follow-up was 28 months for the arthrogram group and 33 months for the control group.

Main Results:

Patients in the hip arthrogram group reported lower mean functional scores.
Oxford Hip Score: 30 (arthrogram) vs. 39 (control).
WOMAC™: 39 (arthrogram) vs. 46 (control).
SF-12 physical component: 36 (arthrogram) vs. 42 (control).

Conclusions:

Preoperative hip arthrograms are valuable for distinguishing hip pain from other sources like spinal disorders.
Patients undergoing hip arthrograms to clarify symptoms may report lower functional scores post-THA.
The study suggests that while diagnostic, a positive hip arthrogram does not necessarily predict superior functional recovery after total hip arthroplasty.