Pain after total hip arthroplasty: a psychiatric point of view
After total hip arthroplasty (THA), many studies report that a small percentage of patients mention painful symptoms, whose origin remains more or less obscure. We investigated 1,000 patients who had undergone a THA at least one year before their inclusion in the survey protocol. Among these 1,000 p...
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Published in | International orthopaedics Vol. 33; no. 1; pp. 65 - 69 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer-Verlag
01.02.2009
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Abstract | After total hip arthroplasty (THA), many studies report that a small percentage of patients mention painful symptoms, whose origin remains more or less obscure. We investigated 1,000 patients who had undergone a THA at least one year before their inclusion in the survey protocol. Among these 1,000 patients, 64 were complaining of pain in the region of the operated hip. These were later examined and investigated, both clinically (physical and psychiatric examination) and paraclinically (radiography, biology). Those requiring it received adequate treatment and the others were only regularly followed up. We identified the cause of all but one patient’s pain. In all cases except one, the symptoms of pain without physical cause had a psychiatric origin. The results of our study show that, if the clinical picture is not perfectly clear, a psychiatric screening before surgery could contribute to decreasing the incidence of pain syndrome after THA. |
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AbstractList | After total hip arthroplasty (THA), many studies report that a small percentage of patients mention painful symptoms, whose origin remains more or less obscure. We investigated 1,000 patients who had undergone a THA at least one year before their inclusion in the survey protocol. Among these 1,000 patients, 64 were complaining of pain in the region of the operated hip. These were later examined and investigated, both clinically (physical and psychiatric examination) and paraclinically (radiography, biology). Those requiring it received adequate treatment and the others were only regularly followed up. We identified the cause of all but one patient’s pain. In all cases except one, the symptoms of pain without physical cause had a psychiatric origin. The results of our study show that, if the clinical picture is not perfectly clear, a psychiatric screening before surgery could contribute to decreasing the incidence of pain syndrome after THA. |
Author | Courpied, J. P. Mathieu, M. Anract, P. Pacault-Legendre, V. |
Author_xml | – sequence: 1 givenname: V. surname: Pacault-Legendre fullname: Pacault-Legendre, V. email: veronique.legendre@chru-strasbourg.fr organization: Service de Chirurgie Orthopédique, Hôpital Cochin AP-HP – sequence: 2 givenname: P. surname: Anract fullname: Anract, P. organization: Service de Chirurgie Orthopédique, Hôpital Cochin AP-HP – sequence: 3 givenname: M. surname: Mathieu fullname: Mathieu, M. organization: Service de Chirurgie Orthopédique, Hôpital Cochin AP-HP – sequence: 4 givenname: J. P. surname: Courpied fullname: Courpied, J. P. organization: Service de Chirurgie Orthopédique, Hôpital Cochin AP-HP |
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CitedBy_id | crossref_primary_10_1016_j_arth_2015_05_030 crossref_primary_10_2106_JBJS_J_01711 crossref_primary_10_1302_0301_620X_94B2_27736 crossref_primary_10_1007_s10195_015_0368_5 crossref_primary_10_2106_JBJS_RVW_17_00147 crossref_primary_10_1007_s00264_013_2099_7 crossref_primary_10_1007_s00264_008_0688_7 crossref_primary_10_1016_j_arth_2014_10_005 |
Cites_doi | 10.1016/j.arth.2003.12.074 10.1054/arth.2002.31245 10.1097/00003086-200403000-00004 10.1097/01.blo.0000079268.91782.bc 10.1016/S0030-5898(20)31740-5 10.2106/00004623-200210000-00002 10.1302/0301-620X.85B4.13411 10.3928/0147-7447-19900401-06 |
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10.1097/01.blo.0000079268.91782.bc contributor: fullname: JS Giraudet-Le Quintrec – ident: 470_CR3 – volume: 25 start-page: 157 year: 1985 ident: 470_CR12 publication-title: Confr Psychiatriques contributor: fullname: V Pacault |
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SubjectTerms | Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Hip - psychology Female Follow-Up Studies Health Surveys Hip Joint - surgery Humans Incidence Interview, Psychological Male Mass Screening Medicine Medicine & Public Health Mental Disorders Middle Aged Original Paper Orthopedics Pain, Postoperative - epidemiology Pain, Postoperative - psychology Prospective Studies Risk Factors |
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Title | Pain after total hip arthroplasty: a psychiatric point of view |
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