Correction of limb-length inequality during total hip arthroplasty

2001 ◽  
Vol 16 (6) ◽  
pp. 715-720 ◽  
Author(s):  
Chitranjan S. Ranawat ◽  
Rajesh R. Rao ◽  
Jose A. Rodriguez ◽  
Harish S. Bhende
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Limb Length ◽  
Total Hip ◽  
Limb Length Inequality

scholarly journals Limb length discrepancy after total hip arthroplasty: a systematic review

2018 ◽  
Vol 4 (5) ◽  
pp. 690 ◽  
Author(s):  
Pradeep Kumar Pathak ◽  
Rakesh Kumar Gupta ◽  
Hari Singh Meena ◽  
Rajendra Fiske
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Limb Length Discrepancy ◽  
Limb Length ◽  
Total Hip ◽  
Patient Dissatisfaction ◽  
Length Discrepancy ◽  
Hip Stability ◽  
Combined Use ◽  
Limb Length Inequality

<p class="abstract">Correcting limb length inequality without compromising hip stability is one of the major intraoperative challenges in Total hip arthroplasty (THA) as it is a major cause of patient dissatisfaction and litigation against surgeon. Surgeons performing THA should aim to minimize Limb Length Discrepancy (LLD), and therefore should adopt a reliable method of doing so. Thus a reproducible technique which effectively reduces postoperative LLD without increasing operative time and is easy to apply is a need of time. Although various preoperative and intraoperative techniques are described in literature, none is universally applicable and is without limitations. We are presenting a review of 50 articles on limb length discrepancy after total hip arthroplasty, its implications and several techniques to avoid it. We suggest that every effort should be made to minimise postoperative Limb Length Discrepancy by combined use of preoperative and intraoperative techniques.</p>

Flagpole Femoral Prosthesis Trial: An Aid to Leg Length Equalization in Revision of the Deficient Proximal Femur

2003 ◽  
Vol 13 (2) ◽  
pp. 116-118
Author(s):  
P.J. Roberts ◽  
P.A. Gregson ◽  
C. McGeoch
Keyword(s):  
Soft Tissue ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Proximal Femur ◽  
Limb Length ◽  
Soft Tissue Balance ◽  
Femoral Prosthesis ◽  
Leg Length ◽  
Total Hip ◽  
Limb Length Inequality

Obtaining soft tissue balance and correct tension across a total hip arthroplasty can be challenging. This is particularly so following revision of a proximally deficient femur. Although stability of the hip arthroplasty is the paramount concern, limb length inequality is a consideration that is of importance to both surgeon and patient. We describe a novel adaptation in instrumentation to help the surgeon faced with these problems when using cemented Exeter components.

Does robotic-assisted surgery improve outcomes of total hip arthroplasty compared to manual technique? A systematic review and meta-analysis

2021 ◽  
pp. postgradmedj-2021-141135
Author(s):  
Vishal Kumar ◽  
Sandeep Patel ◽  
Vishnu Baburaj ◽  
Rajesh Kumar Rajnish ◽  
Sameer Aggarwal
Keyword(s):  
Systematic Review ◽  
Total Hip Arthroplasty ◽  
Clinical Outcomes ◽  
Hip Arthroplasty ◽  
Meta Analysis ◽  
Operating Time ◽  
Limb Length ◽  
Robot Assisted ◽  
Total Hip

BackgroundRobot-assisted total hip arthroplasty (THA) is an emerging technology that claims to position implants with very high accuracy. However, there is currently limited data in literature on whether this improved accuracy leads to better long-term clinical outcomes. This systematic review compares the outcomes of THA done with the help of robotic assistance (RA) to those done with conventional manual techniques (MTs).MethodsFour electronic databases were searched for eligible articles that directly compared robot-assisted THA to manual THA and had data on the radiological or clinical outcomes of both. Data on various outcome parameters were collected. Meta-analysis was conducted using a random-effects model with 95% CIs.ResultsA total of 17 articles were found eligible for inclusion, and 3600 cases were analysed. Mean operating time in the RA group was significantly longer than in the MT group. RA resulted in significantly more acetabular cups being placed inside Lewinnek’s and Callanan’s safe zones (p<0.001) and had significantly reduced limb length discrepancy compared with MT. There were no statistically significant differences in the two groups in terms of incidence of perioperative complications, need for revision surgery and long-term functional outcome.ConclusionRA leads to highly accurate implant placement and leads to significantly reduced limb length discrepancies. However, the authors do not recommend robot-assisted techniques for routine THAs due to lack of adequate long-term follow-up data, prolonged surgical times and no significant differences in the rate of complications and implant survivorship compared with conventional MTs.

Are We Being Fooled by Fluoroscopy? Distortion May Affect Limb-Length Measurements in Direct Anterior Total Hip Arthroplasty

2020 ◽  
Author(s):  
Victor R. Carlson ◽  
Iain S. Elliott ◽  
Graham J. DeKeyser ◽  
Christopher E. Pelt ◽  
Lucas A. Anderson ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Limb Length ◽  
Total Hip ◽  
Length Measurements

scholarly journals A Simple Method of Intraoperative Limb Length Measurement in Total Hip Arthroplasty.

1999 ◽  
Vol 48 (1) ◽  
pp. 228-231
Author(s):  
Masamitsu Ezoe ◽  
Masatoshi Naito ◽  
Mitsuyoshi Kanbara ◽  
Katsunobu Takahashi ◽  
Kosuke Ogata
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Length Measurement ◽  
Limb Length ◽  
Simple Method ◽  
Total Hip

Age Affects the Perception of Limb Length Discrepancy in Patients with and without a Total Hip Arthroplasty

2004 ◽  
Vol 14 (4) ◽  
pp. 249-253 ◽  
Author(s):  
A. Gonzélez Della Valle ◽  
A. Zoppi ◽  
M.G.E. Peterson ◽  
E.A. Salvati
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Limb Length Discrepancy ◽  
Limb Length ◽  
Total Hip ◽  
Length Discrepancy

scholarly journals Total hip arthroplasty and femoral nail lengthening for hip dysplasia and limb-length discrepancy

2018 ◽  
Vol 4 (3) ◽  
pp. 279-286 ◽  
Author(s):  
Elizabeth Harkin ◽  
S. Robert Rozbruch ◽  
Tomas Liskutin ◽  
William Hopkinson ◽  
Mitchell Bernstein
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Hip Dysplasia ◽  
Limb Length Discrepancy ◽  
Limb Length ◽  
Total Hip ◽  
Length Discrepancy ◽  
Femoral Nail
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