The Journal of Hip Surgery 2018; 02(02): 097-108
DOI: 10.1055/s-0038-1667033
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Evaluation of the Painful Total Hip Arthroplasty

Shane R. Hess
1   Division of Adult Reconstruction, The CORE Institute, Phoenix, Arizona
Blake A. Eyberg
2   Department of Orthopedic Surgery, University of Arizona College of Medicine, Phoenix, Arizona
David J. Jacofsky
3   Division of Adult Reconstruction and Oncology, The CORE Institute, Phoenix, Arizona
› Author Affiliations
Further Information

Publication History

23 December 2017

29 May 2018

Publication Date:
12 July 2018 (online)


The total hip arthroplasty (THA) remains as one of the most successful procedures improving function and quality of life. However, despite its success, failures do occur. The workup of a painful THA should be methodical, prioritizing the most likely to least likely etiologies. Intrinsic and extrinsic sources of pain must be evaluated from data collected through an accurate history, detailed physical examination, laboratory analysis, and imaging interpretation.