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The Bone & Joint Journal

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The Journal of Bone & Joint Surgery British Volume
Vol. 74-B, Issue 1 | Pages 63 - 66
1 Jan 1992
Campbell A Rorabeck C Bourne R Chess D Nott L

A retrospective review of 148 consecutive porous-coated hip arthroplasties (PCA) showed an incidence of thigh pain of 13% one year after surgery, and 22% at two years. Positive correlations were made with femoral stem subsidence (greater than 2 mm) and with distal periosteal and endosteal bone formation. No positive correlations were made with parameters of bone quality or component fit. Resolution of pain occurred in one-third and an anti-inflammatory agent produced partial relief in two-thirds of the patients. We conclude that thigh pain is secondary to stem instability with distal stress transfer in the absence of stable proximal fixation.