Evaluation of a Painful Hip After Total Hip Replacement

Описание: Evaluation of a Painful Hip After Total Hip Replacement is one of the most critical and challenging topics in arthroplasty practice. A painful Total Hip Replacement (THR) requires a systematic, step-by-step diagnostic approach because the causes range from infection and implant loosening to soft-tissue and extra-articular problems.

In this video, Dr. Deepak Garg explains an algorithm-based approach to evaluating a painful hip after THR, focusing on practical clinical decision-making rather than guesswork.

🔹 Topics Covered in This Video

Common causes of pain after total hip replacement

Importance of ruling out infection in every painful THR

History-based clues and pain pattern analysis

Clinical examination and gait assessment

Interpretation of X-rays in failed hip replacement

Role of ESR, CRP, and hip aspiration

Mechanical causes: loosening, instability, polyethylene wear, osteolysis

Soft-tissue causes: iliopsoas tendinitis, trochanteric bursitis, abductor deficiency

Extra-articular causes: spine pathology, vascular and neurological causes

Role of CT scan, bone scan, and MRI (including metal-on-metal hips)

When revision surgery is indicated and when conservative treatment is appropriate

This video is especially useful for orthopaedic residents, fellows, and practicing surgeons, as well as anyone involved in revision hip arthroplasty.