Hip surgeons and leg length inequality after primary hip replacement.
Hip replacement
leg length inequality
Journal
Hip international : the journal of clinical and experimental research on hip pathology and therapy
ISSN: 1724-6067
Titre abrégé: Hip Int
Pays: United States
ID NLM: 9200413
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
pubmed:
29
5
2018
medline:
4
12
2019
entrez:
30
5
2018
Statut:
ppublish
Résumé
This study reports the results of 2 separate surveys of British Hip Society (BHS) members relating to leg length inequality (LLI) after primary total hip replacement (THR). Investigates the members' opinions on the effect of LLI on the outcome of THR and explores the acceptable limits of LLI. Reports on the intraoperative techniques currently used by BHS members to minimise LLI after THR. 97% of all surgeons completing the survey believed that LLI can affect the outcome of THR. All surgeons reported using at least 1 intraoperative technique for assessing leg length with a median of 5 techniques. Over 50% of surgeons use 2 or more tests. 89% of surgeons agreed that 15 mm of LLI after primary uncomplicated THR was always acceptable. 90% of surgeons felt that LLI more than 22.74 mm was never acceptable. Despite the multiple published papers on various methods of assessing leg length intraoperatively, the problem of LLI post THR persists. This study highlights the need for further research to develop a simple intraoperative technique with high accuracy and reproducibility.
Sections du résumé
BACKGROUND:
UNASSIGNED
This study reports the results of 2 separate surveys of British Hip Society (BHS) members relating to leg length inequality (LLI) after primary total hip replacement (THR).
SURVEY 1:
UNASSIGNED
Investigates the members' opinions on the effect of LLI on the outcome of THR and explores the acceptable limits of LLI.
SURVEY 2:
UNASSIGNED
Reports on the intraoperative techniques currently used by BHS members to minimise LLI after THR.
RESULTS - SURVEY 1:
UNASSIGNED
97% of all surgeons completing the survey believed that LLI can affect the outcome of THR.
RESULTS - SURVEY 2:
UNASSIGNED
All surgeons reported using at least 1 intraoperative technique for assessing leg length with a median of 5 techniques. Over 50% of surgeons use 2 or more tests.
CONCLUSION - SURVEY 1:
UNASSIGNED
89% of surgeons agreed that 15 mm of LLI after primary uncomplicated THR was always acceptable. 90% of surgeons felt that LLI more than 22.74 mm was never acceptable.
CONCLUSION - SURVEY 2:
UNASSIGNED
Despite the multiple published papers on various methods of assessing leg length intraoperatively, the problem of LLI post THR persists. This study highlights the need for further research to develop a simple intraoperative technique with high accuracy and reproducibility.
Identifiants
pubmed: 29808725
doi: 10.1177/1120700018777858
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM