Limb-Length Discrepancy and Lower Limb Alignment The minimum threshold for treating limb-length discrepancy is debatable. In the study by O’Brien et al., an imposed discrepancy of >10 mm was perceived by twenty-nine (97%) of thirty normal subjects1. In the study by Golightly et al., an inequality of ‡20 mm was associated with progressive radiographic osteoarthritis of the knee2. There are subtl...

Complex tibial deformities imply simultaneous correction of varus deformity and internal rotation of the tibia, axis realignment, restoration of joint surface congruity and treatment and prevention of limb length discrepancy. Four patients were treated in our department using the single-cut osteotomy described by Paley. Osteosynthesis was achieved by an external fixator in two cases, K-wires in...

BACKGROUND Patients who have limb-length discrepancy demonstrate an altered gait pattern or a limp. The purpose of this prospective study was to compare the objective gait parameters for the shorter lower limb with those for the longer lower limb before and after lengthening and to compare these data with those for a group of twenty subjects who had no limb-length discrepancy. METHODS Eightee...

BACKGROUND Potential advantages suggested but not confirmed for surface replacement arthroplasty (SRA) over THA include lower frequency of limp, less thigh pain, less limb length discrepancy, and higher activity. QUESTIONS/PURPOSES We therefore determined whether patients having SRA had a limp, thigh pain, or limb length discrepancy less frequently or had activity levels higher than patients ...

Background: In patients with a congenital or developmental limb-length discrepancy, the short limb grows at a rate proportional to that of the normal, long limb. This is the basis of predicting limb-length discrepancy with existing methods, which are complicated and require multiple data points. The purpose of our study was to derive a simple arithmetic formula that can easily and accurately pr...

BACKGROUND Deficiency in upper limb development is a sequel of the perinatal brachial plexus palsy. The purpose of this study was to evaluate the effect of brachial plexus birth lesion on upper limb development. METHODS Forty-four patients with unilateral obstetric brachial plexus palsy underwent measurements of both upper extremities. The average age at the time of evaluation was 6.8 years. ...

We reviewed 13 children with partial growth plate arrest who had been treated by epiphyseolysis. Eight were followed to skeletal maturity and five for at least four years. In three cases the affected limb was restored to normal and in five the operation was successful in improving angular deformity and leg length discrepancy such that further surgery was not necessary. In the five failures, ang...

The magnitude of the medial offset and limb length discrepancy after a total hip arthroplasty (THA) significantly affects the biomechanics of the hip. If both of these components are not properly restored, the rate of dislocation may increase. In addition limb length inequality can be a cause for legal problems. We have used a method of intraoperative assessment to restore both the length and t...