J Korean Hip Soc.  2011 Dec;23(4):258-261. 10.5371/jkhs.2011.23.4.258.

Fixing Leg Length Discrepancies after Total Hip Arthroplasty

Affiliations
  • 1Department of Orthopedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. yongsik@korea.com

Abstract

Leg length discrepancies are a common cause of patient dissatisfaction after total hip arthroplasty (THA). The equalization of limb lengths and restoration of the anatomic geometry of the hip to restore normal gait and function are the primary goals during THA. Patients recognize a leg length discrepancy when one leg is shorter than the other by 6 mm or longer than the other by 10 mm after THA. Outside of this range, several problems would occur. Therefore, we should try to maintain leg length during THA via preoperative and intra-operative planning.

Keyword

Leg length discrepancy; Total hip arthroplasty; Complications

MeSH Terms

Arthroplasty
Extremities
Gait
Hip
Humans
Leg
Tacrine
Tacrine

Figure

  • Fig. 1 (A-C) Head center to lesser trochanter distance: (A) Anteroposteriorradiograph of a hip shows landmarks forradiographic measurementof HLD. (B) Afer femoral stem insertion, HLD was checked and compare with previously checked HLD. (C) The real head was inserted.


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