Prevention and treatment of leg length discrepancy after total hip arthroplasty

To explore the prevention and treatment of leg length discrepancy after total hip arthroplasty (THA). There were 87 patients who were treated by THA from January 2004 to December 2006, including 36 males and 51 females, with the average age of 60.2 years (ranging from 35 years to 78 years). Among th...

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Bibliographic Details
Published inZhongguo xiu fu chong jian wai ke za zhi Vol. 22; no. 6; p. 662
Main Authors Zheng, Zhihe, Dong, Junfeng, Li, Xinzhi, Lu, Guoqiang
Format Journal Article
LanguageChinese
Published China 01.06.2008
Subjects
Adult
Aged
Arthroplasty, Replacement, Hip - adverse effects
Female
Follow-Up Studies
Humans
Leg Length Inequality - etiology
Leg Length Inequality - prevention & control
Male
Middle Aged
Postoperative Complications - prevention & control
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Summary:To explore the prevention and treatment of leg length discrepancy after total hip arthroplasty (THA). There were 87 patients who were treated by THA from January 2004 to December 2006, including 36 males and 51 females, with the average age of 60.2 years (ranging from 35 years to 78 years). Among these cases, there were 35 of avascular necrosis of the femoral head, 38 of subcapital femoral neck fracture, 4 of femoral neck tumor, 6 of rheumatoid arthritis and 4 of acetabular dysplasia. In 70 cases, the patients had leg length discrepancy, and the legs shortened from 1 cm to 6 cm. Based on the clinical measurement and radiographic examination, the surgical protocols were designed, the type of the hip prosthesis was chosen, and the neck length of the femoral prosthesis and the position of osteotomy were estimated. By the proper wearing of the acetabula, the best rotation point was found out. The cut plane of the femoral neck was adjusted according to the results of the radiographic and other examinations. The ne
ISSN:1002-1892