Does the use of intraoperative measurement reduce limb length discrepancies after total hip arthroplasty?

Abstract Purpose Postoperative limb length discrepancy (LLD) is a common complication of total hip arthroplasty, and several methods exist to prevent LLD, but each has its benefits and drawbacks. The study investigates the application of intraoperative lower limb length measurement in preventing pos...

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Main Authors: Junzhe Wu, Xunrong Zhuang, Chaohui Lin, Lijiang He, Rongmou Zhang
Format: Article
Language:English
Published: BMC 2023-08-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-023-06774-3
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author Junzhe Wu
Xunrong Zhuang
Chaohui Lin
Lijiang He
Rongmou Zhang
author_facet Junzhe Wu
Xunrong Zhuang
Chaohui Lin
Lijiang He
Rongmou Zhang
author_sort Junzhe Wu
collection DOAJ
description Abstract Purpose Postoperative limb length discrepancy (LLD) is a common complication of total hip arthroplasty, and several methods exist to prevent LLD, but each has its benefits and drawbacks. The study investigates the application of intraoperative lower limb length measurement in preventing postoperative LLD. Methods This study retrospectively analyzed 70 patients who underwent total hip arthroplasty from October 2018 to July 2022. The length of the lower limb on the operated side was measured intraoperatively using a sterilized paper ruler after the fitting of the trial mould and compared with the healthy side. Then the prosthesis size, depth and neck length were adjusted accordingly. Results The absolute value of postoperative LLD was found to be 6.68 ± 4.48 mm, of which 53 cases (75.7%) were less than or equal to 10 mm, while 30 patients (42.9%) were less than or equal to 5 mm. Conclusion The use of intraoperative measurement is effective in reducing LLD after total hip arthroplasty.
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spelling doaj.art-5a04a78c1ce34a9aa1d8c2a0ec59c2462023-11-19T12:09:04ZengBMCBMC Musculoskeletal Disorders1471-24742023-08-012411710.1186/s12891-023-06774-3Does the use of intraoperative measurement reduce limb length discrepancies after total hip arthroplasty?Junzhe Wu0Xunrong Zhuang1Chaohui Lin2Lijiang He3Rongmou Zhang4Department of Orthopaedic Surgery, The Second Affiliated Hospital, Fujian Medical UniversityDepartment of Orthopaedic Surgery, The Second Affiliated Hospital, Fujian Medical UniversityDepartment of Orthopaedic Surgery, The Second Affiliated Hospital, Fujian Medical UniversityDepartment of Orthopaedic Surgery, The Second Affiliated Hospital, Fujian Medical UniversityDepartment of Orthopaedic Surgery, The Second Affiliated Hospital, Fujian Medical UniversityAbstract Purpose Postoperative limb length discrepancy (LLD) is a common complication of total hip arthroplasty, and several methods exist to prevent LLD, but each has its benefits and drawbacks. The study investigates the application of intraoperative lower limb length measurement in preventing postoperative LLD. Methods This study retrospectively analyzed 70 patients who underwent total hip arthroplasty from October 2018 to July 2022. The length of the lower limb on the operated side was measured intraoperatively using a sterilized paper ruler after the fitting of the trial mould and compared with the healthy side. Then the prosthesis size, depth and neck length were adjusted accordingly. Results The absolute value of postoperative LLD was found to be 6.68 ± 4.48 mm, of which 53 cases (75.7%) were less than or equal to 10 mm, while 30 patients (42.9%) were less than or equal to 5 mm. Conclusion The use of intraoperative measurement is effective in reducing LLD after total hip arthroplasty.https://doi.org/10.1186/s12891-023-06774-3Total hip arthroplastyLimb length discrepancyRetrospective studyCalcar femoraleLower extremity length
spellingShingle Junzhe Wu
Xunrong Zhuang
Chaohui Lin
Lijiang He
Rongmou Zhang
Does the use of intraoperative measurement reduce limb length discrepancies after total hip arthroplasty?
BMC Musculoskeletal Disorders
Total hip arthroplasty
Limb length discrepancy
Retrospective study
Calcar femorale
Lower extremity length
title Does the use of intraoperative measurement reduce limb length discrepancies after total hip arthroplasty?
title_full Does the use of intraoperative measurement reduce limb length discrepancies after total hip arthroplasty?
title_fullStr Does the use of intraoperative measurement reduce limb length discrepancies after total hip arthroplasty?
title_full_unstemmed Does the use of intraoperative measurement reduce limb length discrepancies after total hip arthroplasty?
title_short Does the use of intraoperative measurement reduce limb length discrepancies after total hip arthroplasty?
title_sort does the use of intraoperative measurement reduce limb length discrepancies after total hip arthroplasty
topic Total hip arthroplasty
Limb length discrepancy
Retrospective study
Calcar femorale
Lower extremity length
url https://doi.org/10.1186/s12891-023-06774-3
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