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- W2406806089 abstract "Introduction: Leg length discrepancy in general and leg lengthening in particular has emerged as a topic of interest and a common cause for litigation Theoretical considerations: Painful mobile hip functions in abduction. The load on the hip is reduced by pelvic tilt to the symptomatic side. For this to be possible the proximal lever - the head neck and the acetabulum - must be relatively intact. Methods: A method to identify patients at risk for limb lengthening after total hip arthroplasty by establishing the aetiology of abduction deformity of the osteoar-thritic hip. Clinically: by pelvic tilt to the symptomatic side apparent limb lengthening, restriction of adduction. Radiologically: by a relatively well preserved geometry of the hip and infero-medial femoral “head –drop” osteophyte. Results: In a group of 5000 patients presenting for primary Charnley low-frictional torque arthroplasty: 182 (3.64%) 80 males, 102 females, mean age 63 (20–80) were identified as being at risk for post-operative limb lengthening. Aetiology – Primary: Unilateral 130, Bilateral 10. – Secondary: Post-surgery 23, post-trauma 10, spinal 6, mixed 3. 122 (67%) had apparent limb lengthening – mean 3.2% and in 43 (24%) limb lengths were equal, 91% had a well preserved architecture and the proximal lever system. Discussion: The tell tale signs in patients at risk for limb lengthening after total hip arthroplasty are: pelvic tilt to the symptomatic side with apparent limb lengthening, restricted adduction, history of backache, well preserved hip structure and normal contralateral hip. Conclusion: Awareness of the pattern identifying patients at risk, detailed pre-operative assessment, avoidance of capsule excision and tight hip reduction are essential." @default.
- W2406806089 created "2016-06-24" @default.
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- W2406806089 date "2016-01-01" @default.
- W2406806089 modified "2023-09-26" @default.
- W2406806089 title "Leg Over-Lengthening After Total Hip Arthroplasty Identification of Patients at Risk" @default.
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- W2406806089 doi "https://doi.org/10.1007/978-3-319-21320-0_5" @default.
- W2406806089 hasPublicationYear "2016" @default.
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