Groin pain aggravated in short term contracted by COVID-19 in THA patients: a case-crossover study

Hongjie Chen1, Peng Lai1, Haiming Lu1

  • 1Department of Orthopedics, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200080, China.

Insights

Coronavirus disease 2019 (COVID-19) significantly increases the risk of groin pain aggravation in total hip arthroplasty (THA) patients. Longer hospital stays are also linked to this increased pain risk.

Area of Science:

  • Orthopedic Surgery
  • Infectious Diseases
  • Pain Management

Background:

  • Coronavirus disease 2019 (COVID-19) has caused global suffering.
  • The impact of COVID-19 on groin pain in total hip arthroplasty (THA) patients was previously unclear.
  • This study investigated the risk of groin pain aggravation in THA patients following COVID-19 infection.

Purpose of the Study:

  • To evaluate the short-term risk of groin pain aggravation in total hip arthroplasty (THA) patients after COVID-19.
  • To identify factors associated with increased groin pain in THA patients post-COVID-19.

Main Methods:

  • A case-crossover study design was employed.
  • 129 THA patients infected with COVID-19 between 2020 and 2022 were enrolled.
  • A questionnaire assessed groin pain aggravation before and after SARS-CoV-2 infection, with multivariate analysis for associated factors.

Main Results:

  • A significantly increased risk of inguinal pain aggravation was observed 8 weeks post-COVID-19 compared to 12 weeks pre-COVID-19 (RR, 9.5).
  • Multivariate analysis identified a longer length of hospital stay as an independent factor associated with increased groin pain aggravation (OR, 1.26; p=0.027).

Conclusions:

  • This study confirms a link between COVID-19 and exacerbated groin pain in THA patients.
  • Extended hospital stay is identified as a potential contributing factor to this pain.
  • Findings offer valuable insights into postoperative outcomes for THA patients affected by COVID-19.
Abstract

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