Predictors of Long-Term Pain After Hip Arthroplasty in Patients With Femoral Neck Fractures: A Cohort Study

Description

In this presentation, Atefeh Noori, a PhD candidate in health research methodology at McMaster University, discusses her research on long-term pain predictors following hip arthroplasty in patients with femoral neck fractures. She notes that although hip arthroplasty aims to relieve pain, a significant proportion (13%) of patients report persistent pain one year post-surgery. By analyzing data from approximately 1,400 participants involved in a randomized controlled trial, the study seeks to identify both modifiable and non-modifiable factors that contribute to moderate to severe pain at one and two years after surgery. Key findings include that pre-existing moderate to severe hip pain, pre-fracture opioid use, female sex, younger age (under 79 years), and higher pre-fracture functional status are associated with an increased risk of persistent pain post-surgery. The research concludes that about 10% of hip fracture patients undergoing arthroplasty will experience notable pain two years after their procedure, highlighting the need for targeted interventions for high-risk patients.

DOI: 10.1302/3114-220855

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