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Forschungsdatenbank PMU-SQQUID

[End-of-stem pain in hip and knee arthroplasty].
Ettinger, M; Savov, P; Windhagen, H; Buhren, V; Hungerer, S
Orthopade. 2021; 50(1):51-59
Originalarbeiten (Zeitschrift)


Hungerer Sven


End-of-stem pain after knee and hip arthroplasty with diaphyseal supportive stems is a frequently overlooked and potentially underestimated complication. A commonly recurring clinical phenome is the symptom-free interval after surgery of weeks to months, with new onset of symptoms under stress only later. The patient is often again reliant on walking sticks. End-of-stem pain is a diagnosis of exclusion. Pain is projected into the tip of the stem, and if differential diagnoses such as loosening are excluded, then the patient might be treated with a "bending-plate". Since bone cement has a similar elastic modulus to human cortical bone, a change of method to a cemented implant can also be expedient. In the primary situation, in addition to cemented stems, the use of "split-stems" could be useful. After revision surgery of any kind, a timely cessation of pain confirms the diagnosis.

Useful keywords (using NLM MeSH Indexing)

Arthroplasty, Replacement, Hip/adverse effects*

Arthroplasty, Replacement, Knee/adverse effects*

Bone Cements*

Hip Prosthesis*



Prosthesis Design

Prosthesis Failure*


Find related publications in this database (Keywords)

Knee prosthesis
Hip prosthesis
Elastic modulus