Lower Limb-Length Discrepancy

Guichet, Jean-Marc; Spivak, Jeffrey M.; Trouilloud, P.; Grammont, P

doi:10.1097/00003086-199111000-00035

Cited by 79 publications

(45 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The incidence is difficult to ascertain but evidence suggests that some lengthening occurs in as many as 30% of patients following THR, due most commonly to malpositioning of the femoral component, and less commonly the acetabular component 17 . When this difference exceeds 20mm, it is more likely to become clinically significant 18,19 this by adding a landmark common to both sides, the hip joint centre 28 . This allowed refinement of the assessment of leg length by providing individual leg length measures for the acetabular (C-cup side) and femoral (S-stem side) sides along with an overall (O) leg length as demonstrated in Figure 11.…”

Section: (2)effect Of Total Hip Replacement Surgerymentioning

confidence: 99%

Basic biomechanics of the hip

Lunn

Lampropoulos

Stewart

2016

Orthopaedics and Trauma

View full text Add to dashboard Cite

(1)AbstractThe basic mechanical principles which govern how the hip joint maintains equilibrium and balance during standing and performing activities is explained along with the consequences when this balanced system is compromised. A description of the movements and forces acting around the hip joint that are expected during activities of daily living is offered and also how these movements are affected following total hip replacement, with particular reference to femoral offset and leg length inequality.

show abstract

Section: (2)effect Of Total Hip Replacement Surgerymentioning

confidence: 99%

Basic biomechanics of the hip

Lunn

Lampropoulos

Stewart

2016

Orthopaedics and Trauma

View full text Add to dashboard Cite

show abstract

“…In an adult population, between 40 and 70% have an LLI [4,13] and this may be greater than 2 cm in about 0.1% [13]. Although greater leg length differences are rare, leg length differences of more than 60 mm were found in 14% of the patients who needed treatment because of LLI ([20 mm) [13].…”

Section: Introductionmentioning

confidence: 99%

The effect of simulating leg length inequality on spinal posture and pelvic position: a dynamic rasterstereographic analysis

et al. 2011

View full text Add to dashboard Cite

Introduction Leg length inequalities (LLI) are a common finding. Rasterstereography offers a non-invasive, contactfree and reliable method to detect the effects of LLIs on spinal posture and pelvic position. Materials and methods A total of 115 subjects were rasterstereographically examined during different artificially created leg length inequalities (5-15 mm) using a platform. The pelvic obliquity and torsion and the lateral and frontal deviation of the spine, as well as the surface rotation, were measured. Results Changes in platform height led to an increase of the pelvic tilt and torsion. Only minor changes in the spinal posture were found by different simulated leg length inequalities. Conclusions Our study showed that there was a correlation between an artificial leg length inequality up to 15 mm and pelvic tilt or torsion, but only minor changes in the spinal posture were measured. Further studies should investigate the effects of greater leg length inequalities on spine and pelvis.

show abstract

“…As such, a poor support system and familial and/or environmental problems may compromise postoperative self-care, rehabilitation, and outcome [36,47,52]. Undergoing limb lengthening and reconstruction also requires mental stability, resilience, and good coping skills to manage increasing pain, limited mobility, and treatment fatigue [10,11,15,19,35,41,58]. This is crucial, because unaddressed psychological, emotional, and behavioral disturbances have been shown to complicate rehabilitation [2,20,38,40].…”

Section: Introductionmentioning

confidence: 99%

Clinical Implications of Psychosocial Factors on Pediatric External Fixation Treatment and Recommendations

Richard

Nguyen

Birch

et al. 2015

Clin Orthop Relat Res

View full text Add to dashboard Cite

Background Pediatric limb reconstruction using circular external fixation is a prolonged treatment that interrupts patients' daily function. Patient personality characteristics and expectations may interfere with planned treatment, making complicated medical procedures more challenging. The aims of this study are to identify factors impacting treatment outcome and recommendations for preoperative evaluation and planning. Questions/purposes (1) Are there group differences between patients with and without a preexisting mental health condition(s) in terms of unplanned reoperations? (2) Does the number of surgical procedures before current external fixator placement correlate with the number of unplanned readmissions, unplanned reoperations, and days spent in circular external fixation? (3) Are there group differences between single-compared with two-parent households in terms of inpatient narcotic doses, length of inpatient stay, number of unplanned readmissions, length of readmission(s), and/or unplanned outpatient clinic visits? (4) Does patient age at the time of surgery have an impact on treatment duration, postoperative complications, and treatment outcome? Methods This is a retrospective chart review of pediatric patients who underwent limb reconstruction between 2008 and 2012. Patients with limb length discrepancy [ 4 cm or severe angular deformity and who agreed to intervention were treated with circular external fixation. Sixty-seven patients were included; 16 patients were excluded. Statistical analyses included Pearson r correlation and t-test. Results Patients who reported preexisting mental health diagnosis (13%) had more unplanned reoperations than patients who did not (no mental health diagnosis; 87%) (mental health diagnosis 3.4 ± 10.3 versus no mental health diagnosis 0.2 ± 0.5 reoperation[s], p = 0.022). Number of previous surgical procedures correlated with number of unplanned reoperations (r = 0.448, p \ 0.001), number of unplanned readmissions (r = 0.375, p \ 0.001), and number of days in an apparatus (r = 0.275, p = 0.018). Compared with patients from two-parent households, patients from single-parent households received a greater number of inpatient narcotic doses (singleparent 129 ± 118 versus two-parent 73 ± 109 doses, p = 0.039), longer length of inpatient stay (single-parent 73 ± 63 versus two-parent 40 ± 65 days, p = 0.036), more unplanned readmissions (single-parent 0.4 ± 0.1 versus two-parent 0.2 ± 0.2 readmission, p = 0.024), longer hospitalization when readmitted (single-parent 5 ± 11 versus two-parent 1 ± 3 day(s), p = 0.025), and fewer unplanned outpatient visits (single-parent 0.2 ± 0.8 versus two-parent 0.9 ± 1.1 visit, p = 0.005). Apparatus applications with successful outcome had higher average age than those with poor outcome (successful outcome 16 ± 3 versus poor outcome 13 ± 4 years old, p = 0.011). Age at time of apparatus application correlated with One or more of the authors (JGB, MKS, AMC), or a member of his or her immediate family, has or may receive payments ...

show abstract

Lower Limb-Length Discrepancy

Cited by 79 publications

References 0 publications

Basic biomechanics of the hip

Basic biomechanics of the hip

The effect of simulating leg length inequality on spinal posture and pelvic position: a dynamic rasterstereographic analysis

Clinical Implications of Psychosocial Factors on Pediatric External Fixation Treatment and Recommendations

Contact Info

Product

Resources

About