Limb-length Discrepancy After Total Hip Arthroplasty

Harwin, Steven F.; Pivec, Robert

doi:10.3928/01477447-20140124-04

Orthopedics

2014

DOI: 10.3928/01477447-20140124-04

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Limb-length Discrepancy After Total Hip Arthroplasty

Steven F. Harwin¹,

Robert Pivec²

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Cited by 2 publications

(7 citation statements)

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“…16 The technical success of hip arthroplasty (HA) will be affected by these complications if radiographic discrepancy developed. 17 Patients` dissatisfaction for LLI after HA is a potential medico-legal problem 12 as it is the most common reason for litigation against orthopaedic surgeons.…”

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confidence: 99%

“…21 Regrettably, LLI of 10 mm or more is common following HA despite careful attempts implemented to equalise legs length using meticulous preoperative planning and intraoperative guides, landmarks, and navigation. 12 After HA, if LLI is reported, careful clinical and radio graphical evaluation of the complaining patients should be considered. The majority could be due to an apparent (func- 19 Even though, these patients may get lower functional and satisfaction scores.…”

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confidence: 99%

“…using insole lift can correct only small inequality while using lift outside the shoes for larger inequality is unsightly and when the shoes are off the inequality returns. 12 Revision of the ipsilateral hip to correct LLI is indicated if there is evidence of prosthetic failure. 12 This revision surgery with simultaneous correction of LLI by using a shorter construct may lead to instability or even dislocation.…”

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confidence: 99%

“…12 Revision of the ipsilateral hip to correct LLI is indicated if there is evidence of prosthetic failure. 12 This revision surgery with simultaneous correction of LLI by using a shorter construct may lead to instability or even dislocation. The use of a large femoral head or dual-mobility prosthesis may possibly correct instability.…”

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confidence: 99%

“…A Larger discrepancy may cause several complications such as nerve palsy, altered gait, low back pain, patient`s dissatisfaction, hip instability, [9][10][11][12]13 sciatica and neuritis 14 dislocation 15 and early loosening of components. 16 The technical success of hip arthroplasty (HA) will be affected by these complications if radiographic discrepancy developed.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Cemented Versus Cementless Primary Hip Replacement: Assessment of Leg Length Inequality

Yassin¹,

Al-Mirah²,

Almoaish³

et al. 2017

JYP

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Objective: Following hip arthroplasty surgeries, leg length inequality (LLI) has been reported to be a leading cause of orthopaedic surgery malpractice claims. Most of them developed lengthening of the limb rather than shortening. Small lengthening (≤10 mm) are usually well tolerated by patients and may go unnoticed. In fact, absolute equalisation of limbs length is difficult to achieve and LLI could be minimised but not be avoided. Therefore, this cross-sectional study analysed and compared the LLI between two different techniques of hip arthroplasty (HA); Cemented and cementless. Materials and methods: Twenty-six patients underwent HA within the period from January 2012 to December 2014, 5 (19.2%) of them underwent cemented HA while 21 (80.8%) patients underwent cementless HA. The same principal orthopaedic surgeon has performed all these surgeries to reduce the bias that observed in other similar studies which were conducted by multiple surgeons. The method of measurement depended on the true clinical measurement using the tape measure. Pre-and postoperatively, we measured the length of both lower limbs for each patient and classified into; equal, lengthening and shortening groups by comparing the affected side length to the normal side. Finally, we compared the postoperative overall mean LLI between these two techniques. Results: This study revealed that the overall mean of postoperative LLI in the cemented group was -2.00 while in the cementless group was 3.81. There was no significant statistical difference between LLI developed in these two groups (P value, 0.361). Conclusion: We concluded that, in this study, the utilization of cement in HA surgeries has no impact on the incidence of postoperative LLI. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

See 3 more Smart Citations

Cemented Versus Cementless Primary Hip Replacement: Assessment of Leg Length Inequality

Yassin¹,

Al-Mirah²,

Almoaish³

et al. 2017

JYP

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Total Hip Arthroplasty via Lateral Approach in Supine Position

Wang

Shi

2014

Orthopaedic Surgery

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Limb-length Discrepancy After Total Hip Arthroplasty

Cited by 2 publications

References 11 publications

Cemented Versus Cementless Primary Hip Replacement: Assessment of Leg Length Inequality

Cemented Versus Cementless Primary Hip Replacement: Assessment of Leg Length Inequality

Total Hip Arthroplasty via Lateral Approach in Supine Position

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