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Leg length inequality

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Erratum to: Hip Int. 2012 Sep-Oct;22(5):539-544. Assessing reproducibility for radiographic measurement of leg length inequality after total hip replacement. McWilliams AB, Grainger AJ, O'Connor PJ, Redmond AC, Stewart TD, Stone MH. PMID: 23100154 DOI:10.5301/HIP.2012.9751 [PubMed - indexed for MEDLINE] In the article "Assessing reproducibility for radiographic measurement of leg length inequality after total hip replacement", by Anthony B. McWilliams, Andrew J. Grainger, Philip J. O'Connor, Anthony C. Redmond, Todd D...
September 29, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Marina R Makarov, Samuel H Dunn, Dustin E Singer, Karl E Rathjen, Brandon A Ramo, Chukwudi K Chukwunyerenwa, John G Birch
BACKGROUND: Epiphysiodesis is well-established surgical treatment for the management of leg length discrepancy (LLD) in children; however, a variety of complications may occur. This study evaluates the nature, rate, and potential risk factors of complications associated with epiphysiodesis in a large patient population treated in 1 institution. METHODS: We evaluated the medical and radiographic records of 863 children who had lower extremity epiphysiodesis to manage LLD between 1980 and 2011...
August 19, 2016: Journal of Pediatric Orthopedics
Mehmet Sabri Balik, Ayhan Kanat, Adem Erkut, Bulent Ozdemir, Osman Ersagun Batcik
OBJECTIVE: Inequality in leg length may lead to to abnormal transmission of load across the endplates and degeneration lumbar spine and the disc space. There has been no study focusing on lumbar disc herniation (LDH) and leg length discrepancy. This subject was investigated in this study. MATERIALS AND METHODS: Consecutive adult patients with leg length discrepancy and low back pain (LBP) admitted to our department were respectivelly studied. RESULTS: A total number of 39 subjects (31 women and eight men) with leg length discrepancy and LBP and 43 (25 females and 18 males) patients with LBP as a control group were tested...
April 2016: Journal of Craniovertebral Junction and Spine
Mohammed M Ahmed, Thomas J Otto, Berton R Moed
BACKGROUND: Limited-incision total hip arthroplasty (THA) preserves hip abductors, posterior capsule, and external rotators potentially diminishing dislocation risk. However, potential complications also exist, such as component malposition. Specific implants have been manufactured that enhance compatibility with this technique, while preserving metaphyseal bone; however, little data exists documenting early complications and component position. The purpose was to evaluate primary THA using a curved, bone-sparing stem inserted through the anterior approach with respect to component alignment and early complications...
2016: Journal of Orthopaedic Surgery and Research
Achilleas Boutsiadis, Eirini Iosifidou, Xilouris Nikolaos, Ippokratis Hatzokos
BACKGROUND: Intramedullary (IM) nailing is the method of choice for the treatment of most femoral shaft fractures. However, despite successful solid union, great initial fracture comminution can lead to significant leg length discrepancy affecting normal gait mechanics. Femoral osteotomy and distraction osteogenesis over the pre-existing IM nail could restore this limb inequality. METHODS: Five patients with an average post-traumatic femoral shortening of 3.83 cm were presented in our department with the nail in situ...
2016: Open Orthopaedics Journal
Xiaoxiao Zhou, Qi Wang, Xianlong Zhang, Yunsu Chen, Xiaochun Peng, Yuanqing Mao, Yang Yang, Beigang Fu, Xiuhui Wang, Tingting Tang
Leg-length inequality is an extensively studied complication of total hip arthroplasty in normal patients. However, few studies have focused on the pelvic obliquity of coronal pelvic malrotation. We hypothesized that pelvic obliquity with a fixed abduction/adduction contracture deformity of the hip may intraoperatively affect the release of soft tissues, ultimately resulting in a leg-length inequality. This study also investigated whether the femoral and vertical offsets of total hip arthroplasty were correlated with pelvic obliquity...
2015: PloS One
Bojan Bukva, Goran Vrgoč, Ivan Rakovac, Siniša Dučić, Joško Sindik, Miran Čoklo, Marin Marinović, Bore Bakota
BACKGROUND: The purpose of this retrospective study was to evaluate the complications associated with leg lengthening in children treated with the Ilizarov external fixator (IEF) and compare them between two groups of patients: one group was treated using an IEF alone and the other group was treated using an IEF in association with intramedullary alignment (IA). PATIENTS AND METHODS: The study was performed at the University Children's Hospital in Belgrade, Serbia during a fourteen-year period (from 2000 to 2014)...
November 2015: Injury
Yanbo Zhang, Fei Chang, Chenyu Wang, Modi Yang, Jincheng Wang
We identified the presence of deformities in the affected pelvis of unilateral Crowe type IV DDH patients, and if present, whether the teardrop and ischial lines were parallel with the sacral base line. We also verified whether the sacral base line provided a better pelvic landmark than the teardrop line for determining leg length inequality (LLI). After leveling the pelvis by using a block to lift the short leg, standard anterior-posterior full-length radiography was performed on 10 patients and 10 healthy volunteers as controls...
September 2015: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Yu-Jeong Kwon, Minyoung Song, Il-Hun Baek, Taesik Lee
[Purpose] The purpose of this study was to examine how a leg-length discrepancy contributes to the pelvic position and spinal posture. [Subjects and Methods] A total of 20 subjects (10 males, 10 females) were examined during different artificially created leg-length inequalities (0-4 cm) using a platform. The pelvic tilt and torsion and the sagittal deviation of the spine were measured using the rasterstereographic device formetric 4D. [Results] Changes in platform height led to an increase in pelvic tilt and torsion, while no changes in the spinal posture were found with the different simulated leg-length inequalities...
March 2015: Journal of Physical Therapy Science
Dionysios-Alexandros Verettas, Pelagia Chloropoulou, Konstantinos Xarchas, Georgios Drosos, Athanasios Ververidis, Konstantinos Kazakos
We present the results of 66 total hip arthroplasties in 62 patients of mean age 46 years (24-74 years), with developmental dysplasia of the hip. In all cases the centre of rotation of the new hip was positioned at the site of the true acetabulum. In all patients cementless press fit acetabular components of small diameter (42-44 mm) were used, articulating exclusively with a 22.25 mm modular metal femoral head, without the use of bone grafts or shortening osteotomies of the femur. Despite the use of small diameter femoral heads the rate of dislocation was 3%...
May 2015: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Mohsin Khan, Craig J Della Valle, David J Jacofsky, R Michael Meneghini, Fares S Haddad
Total hip arthroplasty is a highly successful treatment for end-stage arthritis that substantially improves patients' symptoms and function. Unfortunately, complications in the early postoperative period are inevitable, even in procedures performed by experienced surgeons using careful surgical techniques. Current strategies to prevent and effectively manage the most common early complications after total hip arthroplasty, including periprosthetic joint infection, instability, leg-length inequality, and periprosthetic femoral fracture, are discussed...
2015: Instructional Course Lectures
Bertin Dibi Kouame, Guy Serge Yapo Kouame, Moufidath Sounkere, Maxime Koffi, Jean Baptiste Yaokreh, Thierry Odehouri-Koudou, Samba Tembely, Gaudens Atafi Dieth, Ossenou Ouattara, Rufin Dick
BACKGROUND: Postoperative complications are related to the surgical procedures, of failures of initial bladder closure and influence the urological, aesthetical and orthopaedic outcomes. MATERIALS AND METHODS: We reviewed four patients who underwent complex bladder exstrophy-epispadias repair over a period of 14 years. The outcomes of treatment were assessed using, aesthetic, urological and orthopaedic examination data. Orthopaedic complications were explored by a radiography of the pelvis...
January 2015: African Journal of Paediatric Surgery: AJPS
Wontae Gong
[Purpose] This study aimed to investigate the effect of pelvic adjustment on vertical jump height (VJH) in female university students with functional leg length inequality (FLLI). [Subjects] Thirty female university students with FLLI were divided into a pelvic adjustment group (n = 15) and a stretching (control) group (n = 15). [Methods] VJH was measured using an OptoGait. [Results] After the intervention, jump height improved significantly compared with the pre-intervention height only in the pelvic adjustment group, while FLLI showed statistically significant improvement in both groups...
January 2015: Journal of Physical Therapy Science
N Pennington, A Redmond, T Stewart, M Stone
INTRODUCTION: Total hip replacement (THR) is successful and performed commonly. Component placement is a determinant of outcome. Influence of surgeon handedness on component placement has not been considered previously. This study was a radiographic assessment of component positioning with respect to handedness. Early data from 160 patients are reported. METHODS: Overall, 160 primary THRs for osteoarthritis were included. Equal numbers of left and right THRs were performed by four surgeons, two right-handed and two left-handed...
September 2014: Annals of the Royal College of Surgeons of England
D J Smith, M R Zindrick, R W Lambert, E A Millar
Three techniques to predict leg length discrepancy were applied to a series of 50 patients with leg length inequality. The methods of Green and Anderson, the Moseley Chart, and a program written by the authors, designed to be run on a relatively inexpensive programmable calculator, were used.The data processed on the calculator produced slightly more accurate results than the Moseley Chart, though not statistically significant. The Green and Anderson technique resulted in the largest errors.
June 1, 1982: Orthopedics
Linhu Cao, Lun Tan, Chao Wu, Xu Lin, Yong Guo, Xiaozhong Luo, Shiwei Liu
OBJECTIVE: To investigate the application value of acetabular centralization technology for correction of leg-length inequality in total hip arthroplasty (THA). METHODS: Between June 2001 and January 2012, 147 cases of abnormal acetabular center were treated. Of them, 68 cases underwent routine THA (control group), and 79 cases underwent acetabular reconstruction by fossae ovalis oriented centralized technology in THA (test group). There was no significant difference in gender, age, side, pathogeny, acetabular rotation center indexs, difference of relative and absolute leg-length, and Harris score between 2 groups before operation (P > 0...
February 2014: Chinese Journal of Reparative and Reconstructive Surgery
G Lesanu, R Balanescu, D Pacurar, O Iaru, R M Vlad, L Topor, D Oraseanu
Malformations of the inferior vena cava (IVC) are rare presentations, exceptional in children, and are usually asymptomatic.They are caused by disturbances in the embryological formation of the venous system or can develop as a result of perinatal venous thrombosis with secondary impairment of the venous development. We report the case of a 14 year old boy,admitted for pediatric evaluation before undergoing plastic surgery in order to remove superficial varicose veins of the lower abdomen. The patient presents with inequality in circumference and length of the legs...
March 2014: Chirurgia
J D García-Juárez, P A Bravo-Bernabé, A García-Hernández, C I Jiménez-Cabuto, M S García-Rosas
INTRODUCTION: In coxarthrosis pain relief and the restoration of function including leg length are achieved with total hip arthroplasty. Sometimes achieving stability makes it impossible to achieve equal leg length. OBJECTIVE: To determine the incidence of pelvic limb length discrepancy, its effect on function and its emotional effect in a group of patients who underwent total hip arthroplasty. MATERIAL AND METHODS: A total of 252 patients with a diagnosis of grade IV coxarthrosis were assessed...
January 2013: Acta Ortopédica Mexicana
S V Kolesov, A N Baklanov, I A Shavyrin
AIM: Determination of the optimal diagnostic and treatment strategy in patients with scoliosis and having an anatomic shortening of the lower limb. PATIENTS AND METHODS: Surgical correction of scoliosis held 8 to patients with lower limb shortening caused by congenital dislocation of the hip (n = 3), anatomic shortening of the lower extremities due to the hip (n = 1), the shin bone (n = 4). Shortening before correction and fixation of scoliosis ranged from 6 to 14 cm, after surgery on the spine has been reduced by 2-4 cm achieved reduction or removal of pelvic obliquity...
2013: Vestnik Rossiĭskoĭ Akademii Meditsinskikh Nauk
Vlatka Pitlović, Gordan Sarić, Hrvoje Pitlović, Savo Jovanović, Darko Jurisić
Peak height velocity (PHV) is defined as the period of the fastest growth during puberty. An ability to predict annual growth and the timing of PHV may provide an opportunity to modify treatment of many diseases and conditions of the skeletal system such as scoliosis and kyphosis, slipped capital femoral epiphysis, leg length inequality and adolescent Blount's disease. There is a good correlation of peak height velocity and skeletal age determined from the radiographic assessment ofolecranon. To avoid radiation, we tested value of olecranon ultrasound in prediction of annual growth and peak height velocity...
December 2013: Collegium Antropologicum
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