Limb-length Discrepancy After Total Hip Arthroplasty: Novel Treatment and Proposed Algorithm for Care
| Autor: | Aaron J. Johnson, John E. Herzenberg, Kimona Issa, Michael A. Mont, Rishi Thakral, Janet D. Conway, Stacy C Specht |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Arthroplasty Replacement Hip medicine.medical_treatment Osteogenesis Distraction Prosthesis Design law.invention Intramedullary rod law Distraction Fracture fixation medicine Humans Orthopedics and Sports Medicine Limb length discrepancy business.industry Middle Aged Plastic Surgery Procedures Arthroplasty Fracture Fixation Intramedullary Leg Length Inequality Surgery Treatment Outcome Harris Hip Score Orthopedic surgery Female business Algorithms Total hip arthroplasty |
| Zdroj: | Orthopedics. 37:101-106 |
| ISSN: | 1938-2367 0147-7447 |
| DOI: | 10.3928/01477447-20140124-06 |
| Popis: | Limb-length discrepancy after total hip arthroplasty (THA) leads to patient dissatisfaction and can be a cause of orthopedic surgery malpractice cases. Nonsurgical and surgical techniques exist to correct limb-length discrepancies. Two limb-lengthening methods were used to correct greater than 2-cm limb-length discrepancies after THA: lengthening over a femoral nail with an external fixator and lengthening with an intramedullary kinetic skeletal distractor. These techniques achieved equal length in less than 4 weeks, with both resulting in a healed distraction gap within 4 months. No patient had loss of proximal or distal joint motion, and mean Harris Hip Score was 90 points at final follow-up. No surgical complications were reported with the intramedullary skeletal kinetic distractor. Limb lengthening using an intramedullary skeletal kinetic distractor is a viable treatment option resulting in reliable lengthening, healing of the distraction gap, and progression to full weight bearing. [ Orthopedics. 2014; 37(2):101–106.] |
| Databáze: | OpenAIRE |
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