Complex regional pain syndrome after multiple revision total hip arthroplasty surgeries
Abstract Background Persistent pain after total hip arthroplasty (THA) is a real concern for the surgeon and is a significant cause of patient dissatisfaction; periprosthetic joint infection (PJI), aseptic loosening, and instability are among the common causes of painful THA. However, few rare cause...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-02-01
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| Series: | Bulletin of the National Research Centre |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42269-023-00994-2 |
| _version_ | 1797865584427270144 |
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| author | Mahmoud Faisal Adam Ahmed A. Khalifa Ahmed M. Abdelaal |
| author_facet | Mahmoud Faisal Adam Ahmed A. Khalifa Ahmed M. Abdelaal |
| author_sort | Mahmoud Faisal Adam |
| collection | DOAJ |
| description | Abstract Background Persistent pain after total hip arthroplasty (THA) is a real concern for the surgeon and is a significant cause of patient dissatisfaction; periprosthetic joint infection (PJI), aseptic loosening, and instability are among the common causes of painful THA. However, few rare causes have been reported in the literature; the complex regional pain syndrome (CRPS) was reported to occur after primary hip and knee arthroplasties. Case presentation: We present a female patient who had bilateral hip resurfacing when she was 28 years old after being diagnosed with bilateral hip avascular necrosis; over 16 years, she was satisfied. She started developing pain in her right hip in 2019, diagnosed as aseptic loosening, and a revision using a cementless THA was performed. Six months later, she was diagnosed with PJI, which was treated in two stages; after the first-stage revision THA, the patient complained of persistent pain in her lower leg with a burning sensation and change in skin color, not responding to conservative lines. During the second-stage revision THA and after receiving spinal anesthesia, the skin color of the right lower limb changed to normal. The postoperative diagnosis was made as CRPS, treated effectively with sympathetic block. At six months postoperative, the patient was pain-free, and the implants showed proper position. Conclusions: Although rare, CRPS could cause persistent pain after repeated hip surgeries, and the diagnosis is reached mainly by exclusion. |
| first_indexed | 2024-04-09T23:11:34Z |
| format | Article |
| id | doaj.art-166babc33230455f9e108d37fb9c1076 |
| institution | Directory Open Access Journal |
| issn | 2522-8307 |
| language | English |
| last_indexed | 2024-04-09T23:11:34Z |
| publishDate | 2023-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Bulletin of the National Research Centre |
| spelling | doaj.art-166babc33230455f9e108d37fb9c10762023-03-22T10:21:29ZengSpringerOpenBulletin of the National Research Centre2522-83072023-02-014711610.1186/s42269-023-00994-2Complex regional pain syndrome after multiple revision total hip arthroplasty surgeriesMahmoud Faisal Adam0Ahmed A. Khalifa1Ahmed M. Abdelaal2Orthopaedic Department, Assiut University HospitalOrthopaedic and Traumatology Department, Qena Faculty of Medicine and University Hospital, South Valley UniversityOrthopaedic Department, Assiut University HospitalAbstract Background Persistent pain after total hip arthroplasty (THA) is a real concern for the surgeon and is a significant cause of patient dissatisfaction; periprosthetic joint infection (PJI), aseptic loosening, and instability are among the common causes of painful THA. However, few rare causes have been reported in the literature; the complex regional pain syndrome (CRPS) was reported to occur after primary hip and knee arthroplasties. Case presentation: We present a female patient who had bilateral hip resurfacing when she was 28 years old after being diagnosed with bilateral hip avascular necrosis; over 16 years, she was satisfied. She started developing pain in her right hip in 2019, diagnosed as aseptic loosening, and a revision using a cementless THA was performed. Six months later, she was diagnosed with PJI, which was treated in two stages; after the first-stage revision THA, the patient complained of persistent pain in her lower leg with a burning sensation and change in skin color, not responding to conservative lines. During the second-stage revision THA and after receiving spinal anesthesia, the skin color of the right lower limb changed to normal. The postoperative diagnosis was made as CRPS, treated effectively with sympathetic block. At six months postoperative, the patient was pain-free, and the implants showed proper position. Conclusions: Although rare, CRPS could cause persistent pain after repeated hip surgeries, and the diagnosis is reached mainly by exclusion.https://doi.org/10.1186/s42269-023-00994-2Complex regional pain syndrome: hip resurfacing arthroplastyPainful total hip arthroplastyRevision total hip arthroplasty |
| spellingShingle | Mahmoud Faisal Adam Ahmed A. Khalifa Ahmed M. Abdelaal Complex regional pain syndrome after multiple revision total hip arthroplasty surgeries Bulletin of the National Research Centre Complex regional pain syndrome: hip resurfacing arthroplasty Painful total hip arthroplasty Revision total hip arthroplasty |
| title | Complex regional pain syndrome after multiple revision total hip arthroplasty surgeries |
| title_full | Complex regional pain syndrome after multiple revision total hip arthroplasty surgeries |
| title_fullStr | Complex regional pain syndrome after multiple revision total hip arthroplasty surgeries |
| title_full_unstemmed | Complex regional pain syndrome after multiple revision total hip arthroplasty surgeries |
| title_short | Complex regional pain syndrome after multiple revision total hip arthroplasty surgeries |
| title_sort | complex regional pain syndrome after multiple revision total hip arthroplasty surgeries |
| topic | Complex regional pain syndrome: hip resurfacing arthroplasty Painful total hip arthroplasty Revision total hip arthroplasty |
| url | https://doi.org/10.1186/s42269-023-00994-2 |
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