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Selected Instructional Course Lecture   |    
Evaluation of Patients with Pain Following Total Hip Replacement
Patrick J. Duffy, MB, BCH, FRCS(ORTH); Bassam A. Masri, MD, FRCSC1; Donald S. Garbuz, MD, MHSc, FRCSC1; Clive P. Duncan, MD, FRCSC1
1 University of British Columbia, Third Floor, 910 West Tenth Avenue, Vancouver, BC V5Z 4E3, Canada. E-mail address for B.A. Masri: bas.masri@vch.ca
The Journal of Bone & Joint Surgery.  2005; 87:2566-2575 
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Extract

The number of total hip replacements performed worldwide continues to rise annually, and total hip replacement is undoubtedly one of the most successful orthopaedic procedures of the last forty years. Annually, more than 168,000 primary and 30,000 revision total hip replacements are performed in the United States1.Patient satisfaction is generally high following this procedure, which provides excellent pain relief2 and an increased level of function3. Unfortunately, a number of patients have persistent or new pain, and some have disability, after the operation, and these problems remain a challenge4. This instructional course lecture is a guide to the evaluation of these patients.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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