Analysis of the Functional Outcome of Limb Length Discrepancy after Total Hip Replacement

Kumar, Shikhar; Kumar, Avnish; Bharti, Ajay; Ak, Gupta; Senger, G. K.

doi:10.21276/aimdr.2018.4.1.or1

Cited by 2 publications

(2 citation statements)

References 22 publications

(39 reference statements)

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“…The mean pre operative OHS in our study was 17.7 which improved to 45.1 postoperatively at final follow up (Table 7). In the study by Kumar et al, 7 pre operative OHS was 6.7 which improved to 41.14 post operatively. We did not find any significant (p>0.05) difference between the post operative OHS of patients of One stage & Two stage surgery.…”

Section: Discussionmentioning

confidence: 85%

Outcome analysis of bilateral total hip replacement in patients of avascular necrosis of femoral head

Dubepuria

Gohiya²,

Sonkar³

et al. 2022

IJOS

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Avascular necrosis (AVN) of the femoral head is one of the common causes of painful hip in a young adult. Bilateral presentation is frequently seen and males are more commonly affected. Total hip replacement (THR) is one of the most successful surgical procedures for AVN. THR is a time tested surgery giving good outcome in terms of relieving pain, restoring function & improving quality of life in patients of AVN. The purpose of the study was to analyse the outcome of bilateral THR & comparing the outcome of one stage THR with Two stage THR. In this study, 40 patients with AVN of bilateral femoral head who were presented in the Department of Orthopaedics, Hamidia Hospital, Bhopal from April 2016 to April 2020 who fulfilled the inclusion criteria were included in the study. THR of all the patients was done on elective basis by senior surgeons of the department. All patients were followed up clinically and radiologically for a period of 6 months after the surgery. Any complications if present were also noted. This study concludes that in patients of AVN of bilateral femoral head, THR gives excellent functional outcome with early walking & early return to work. As compared to Two stage bilateral THR, One stage bilateral THR has advantage of less blood loss, less need of parenteral analgesics & antibiotics & less hospital stay. However, there is no significant advantage in terms of functional outcome, walking capability & return to work.

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Section: Discussionmentioning

confidence: 85%

Outcome analysis of bilateral total hip replacement in patients of avascular necrosis of femoral head

Dubepuria

Gohiya²,

Sonkar³

et al. 2022

IJOS

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show abstract

“…In contrast, hip pain, limping and patient satisfactions were all significantly associated with leg shortening, whereas walking capacity was not. Sanjay Kumar et al [16] noticed shorter limb length as compared to contra lateral side during the pre-operative period and during post-operative period; the lengthening of limb was identified as 42.9% (9/21) and 19% (4/21) of cases shortening of limb was identified and in 31% (8/21) postoperative limb lengths were equal. Functional scores were excellent in patients with equal limb length as compared to those having shorter or longer limb length.…”

Section: Discussionmentioning

confidence: 98%

A Prospective Study Analysis of Limb Length Discrepancy Following Total Hip Arthroplasty

Sanaboyina

SARASWATHI

2021

Asian J Pharm Clin Res

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Objective: The present study was designed and implemented to assess the incidence and occurrence of LLD in post-hip arthroplasty and also to evaluate the causes of limb length discrepancy both intra- and post-operative period to manage total hip arthroplasty effectively. Methods: It is a prospective study involving 52 patients underwent for THA and conducted in the Department of Orthopedics, Tertiary Care Hospital, Visakhapatnam, India from the period of January 2013 to December 2019. The study used Southern approach or “Moore” approach. All the patients are assessed for limb length discrepancy immediately after the surgery and followed at 6 weeks, 3 months, and after 6 years. Results: Three patients had significant limb length discrepancy among the 52 patients (5.77%) while the remaining had no significant discrepancies in all X-rays which assess the radiological discrepancies in length. The study yields a satisfactory result as very few patients reported LLD during follow-up period and outcomes such as pain alleviation, walking capacity, limping, and patient satisfaction were insignificantly influenced by leg lengthening (p≤0.05). Conclusion: A combination of pre-operative templating, intra-operative marking and usage of intra-operative image intensifier and an understanding of anatomy, biomechanics of hip, and implant design would reduce the error of limb length discrepancy.

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Analysis of the Functional Outcome of Limb Length Discrepancy after Total Hip Replacement

Cited by 2 publications

References 22 publications

Outcome analysis of bilateral total hip replacement in patients of avascular necrosis of femoral head

Outcome analysis of bilateral total hip replacement in patients of avascular necrosis of femoral head

A Prospective Study Analysis of Limb Length Discrepancy Following Total Hip Arthroplasty

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