Limb length discrepancy in total hip replacement

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Limb-length discrepancy after total hip arthroplasty.

Limb-length discrepancy, to one degree or another, is a problem that must be reckoned with after total hip arthroplasty (THA). It must be addressed as both a clinical issue for patients and, unfortunately, a potential medicolegal problem. Although a small limb-length discrepancy may cause no symptoms or may not be perceived, a large limb-length discrepancy may cause nerve palsy, low back pain, ...

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Leg-length discrepancy after total hip arthroplasty.

Leg-length discrepancy after total hip arthroplasty can pose a substantial problem for the orthopaedic surgeon. Such discrepancy has been associated with complications including nerve palsy, low back pain, and abnormal gait. Careful preoperative measurement and assessment, as well as preoperative and postoperative patient education, are important factors in achieving an acceptable result. Howev...

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Total Hip Arthroplasty in Patients With Multifactorial Perceived Limb Length Discrepancy.

BACKGROUND Patients with advanced hip arthritis can present with multifactorial limb length discrepancies (LLDs) owing to bony shortening from growth arrest, proximal hip migration, soft-tissue contractures, and pelvic obliquity. The patient perceives an LLD that is a combination of true LLD and apparent LLD. METHODS We retrospectively reviewed 7 cases with multifactorial mean perceived LLD o...

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Limb-length discrepancy after total hip arthroplasty: novel treatment and proposed algorithm for care.

Limb-length discrepancy after total hip arthroplasty (THA) leads to patient dissatisfaction and can be a cause of orthopedic surgery malpractice cases. Nonsurgical and surgical techniques exist to correct limb-length discrepancies. Two limb-lengthening methods were used to correct greater than 2-cm limb-length discrepancies after THA: lengthening over a femoral nail with an external fixator and...

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The importance of leg length discrepancy after total hip arthroplasty.

We assessed leg length discrepancy and hip function in 90 patients undergoing primary total hip arthroplasty before surgery and at three and 12 months after. Function was measured using the Oxford hip score (OHS). After surgery the mean OHS improved by 26 points after three months and by 30 points after 12. After operation 56 (62%) limbs were long by a mean of 9 mm and this was perceived by 24 ...

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ژورنال

عنوان ژورنال: International Journal of Orthopaedics Sciences

سال: 2017

ISSN: 2395-1958

DOI: 10.22271/ortho.2017.v3.i2a.04