Limb length discrepancy and related problems following total hip joint replacement.

Abstract:

:Limb lengthening is not uncommon after total hip replacement and may cause subjective problems for patients. We have studied 150 total hip replacements to investigate the operative change in limb length. A radiologic evaluation is used and is shown to be accurate. One hundred forty-four limbs were lengthened an average of 15.9 mm. Slightly less lengthening was observed if the greater trochanter was removed as part of the operative procedure. For subjective complaints 40 (27%) patients required heel lifts on the unoperated side to gain a satisfactory gait pattern. Partial sciatic nerve palsies also occurred in this series (3.3%) subsequent to total hip replacements. These palsies did not correlate with sex, lengthening of the extremity, or operative procedure, but did correlate with repeat surgeries and in all instances the condition resolved or improved.

journal_name

Clin Orthop Relat Res

authors

Williamson JA,Reckling FW

subject

Has Abstract

pub_date

1978-07-01 00:00:00

pages

135-8

issue

134

eissn

0009-921X

issn

1528-1132

pub_type

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