Correlation Engine 2.0
Clear Search sequence regions

  • arthroplasty (5)
  • back pain (1)
  • extremity (1)
  • humans (1)
  • inequality (1)
  • leg length (7)
  • limb length (1)
  • patient (1)
  • phases (1)
  • sciatica (1)
  • Sizes of these terms reflect their relevance to your search.

    Leg-length discrepancy (LLD) presents a significant management challenge to orthopedic surgeons and remains a leading cause of patient dissatisfaction and litigation after total hip arthroplasty (THA). Over or under-lengthening of the operative extremity has been shown to have inferior outcomes, such as dislocation, exacerbation of back pain and sciatica, and general dissatisfaction postoperatively. The management of LLD in the setting of THA is multifactorial, and must be taken into consideration in the pre-operative, intra-operative, and post-operative settings. In our review, we aim to summarize the best available practices and techniques for minimizing LLD through each of these phases of care. Pre-operatively, we provide an overview of the appropriate radiographic studies to be obtained and their interpretation, as well as considerations to be made when templating. Intra-operatively, we discuss several techniques for the assessment of limb length in real time, and post-operatively, we discuss both operative and non-operative management of LLD. By providing a summary of the best available practices and strategies for mitigating the impact of a perceived LLD in the setting of THA, we hope to maximize the potential for an excellent surgical and clinical outcome. © 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.


    Rohan A Gheewala, Joseph R Young, Benjamin Villacres Mori, Akshay Lakra, Matthew R DiCaprio. Perioperative management of leg-length discrepancy in total hip arthroplasty: a review. Archives of orthopaedic and trauma surgery. 2023 Aug;143(8):5417-5423

    Expand section icon Mesh Tags

    PMID: 36629905

    View Full Text