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- W4387362433 abstract "Abstract Background Postoperative limb length inequality (LLI) after hip replacement (HR) continues to pose major clinical difficulties. LLI can lead to a series of complications, affecting patients’ satisfaction and even causing patient litigation.This retrospective study aims to identify the risk factors for LLI in patients who underwent HR though univariate and multivariate analysis. Methods A total of 480 patients who underwent HR between January 2019 and December 2022 were included. The potential risk factors comprised three categories: patient factors (age, body mass index sex, body side, osteoporosis and diagnosis), surgery-related factors (anesthesia, operation technique, type of implants and surgeon volume), and radiological findings (postoperative LLI, femoral cortical index (FCI)), difference between the bilateral vertical center of rotations (DBV-COR), reserved length of calcar femorale (R-LOCF), restoration of femoral offset (FO), prosthesis femoral neck length (PFNL), and depth of insertion(DOI)). The risk factors might associated with LLI were determined by univariate and multivariate analysis. Results Risk factors associated with increased possibility of LLI were osteoporosis [odds ratio (OR) 1.705, confidence interval (CI) 1.047−2.778], anesthesia (OR 1.876, CI 1.256−2.802), reserved length of calcar femorale (OR 1.128, CI 1.037−1.226), restoration of femoral offset (OR 1.883, CI 1.288−2.752), and prosthesis femoral neck length (OR 1.051, CI 1.005−1.098). Conclusions The occurrence of LLI after hip replacement was most likely multifactorial and was related to osteoporosis, anesthesia, reserved length of calcar femorale, restoration of femoral offset, and prosthesis femoral neck length. When performing hip arthroplasty, surgeons should consider these risk factors to avoid LLI following HR." @default.
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- W4387362433 date "2023-10-05" @default.
- W4387362433 modified "2023-10-06" @default.
- W4387362433 title "Identification of risk factors for limb length inequality following hip replacemet:A Multivariate Analysis" @default.
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- W4387362433 doi "https://doi.org/10.21203/rs.3.rs-3351607/v1" @default.
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