Minimizing leg-length inequality in total hip arthroplasty: use of preoperative templating and an intraoperative x-ray.
Leg-length inequality after total hip arthroplasty remains a controversial issue. In the study reported here, we sought to determine whether significant leg-length discrepancies (> 6 mm) can be minimized with use of an intraoperative x-ray. In each case, preoperative templating was carefully performed, an intraoperative pelvis x-ray was obtained to assess accuracy, and appropriate adjustments were made. Eighty-six consecutive primary total hip arthroplasties and their associated x-rays were retrospectively reviewed. Mean postoperative leg-length discrepancy was 0.3 mm (SD, 2.6 mm; range, -6 to +6 mm). No legs were lengthened or shortened by more than 6 mm. Significant leg-length discrepancies can be minimized with use of an intraoperative pelvis x-ray.
Duke Scholars
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Start / End Page
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Related Subject Headings
- Retrospective Studies
- Radiography
- Prosthesis Design
- Preoperative Care
- Postoperative Complications
- Pelvis
- Monitoring, Intraoperative
- Middle Aged
- Male
- Leg Length Inequality
Citation
Published In
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Retrospective Studies
- Radiography
- Prosthesis Design
- Preoperative Care
- Postoperative Complications
- Pelvis
- Monitoring, Intraoperative
- Middle Aged
- Male
- Leg Length Inequality