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中华关节外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (02) : 201 -205. doi: 10.3877/cma.j.issn.1674-134X.2020.02.012

所属专题: 文献

综述

全髋关节置换术后双下肢不等长的评估
胡勇1, 周庞虎1, 邱波1,()   
  1. 1. 430060 武汉大学人民医院骨关节外科
  • 收稿日期:2018-12-04 出版日期:2020-04-01
  • 通信作者: 邱波

Evaluation of leg length inequality after total hip arthroplasty

Yong Hu1, Panghu Zhou1, Bo Qiu1,()   

  1. 1. Department of Osteoarthroplasty, Renmin hospital of Wuhan University, Wuhan 430060, China
  • Received:2018-12-04 Published:2020-04-01
  • Corresponding author: Bo Qiu
  • About author:
    Corresponding author: Qiu Bo, Email:
引用本文:

胡勇, 周庞虎, 邱波. 全髋关节置换术后双下肢不等长的评估[J/OL]. 中华关节外科杂志(电子版), 2020, 14(02): 201-205.

Yong Hu, Panghu Zhou, Bo Qiu. Evaluation of leg length inequality after total hip arthroplasty[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2020, 14(02): 201-205.

全髋关节置换(THA)被认为是近年来治疗髋关节病变的有效方法,它能让病人髋关节功能得到恢复,减轻疼痛。虽然THA的优点已经得到公认,但术后并发症不容忽视,因为这将影响到髋关节功能的恢复及病人的体验。双下肢不等长(LLI)是THA术后常见的并发症之一,是造成术后病人对医生提起诉讼的主要原因。目前已经有很多研究报道降低LLI发生的方法,但仍然没有定论。本文主要探讨如何测量并尽量降低LLI的发生概率,旨在为临床提供参考和指导。

Total hip arthroplasty (THA) has been considered as an effective treatment of hip disease in the last decades, which greatly help the recovery of hip function and pain relief. Though the advantages of THA have been recognized, the complications should not be ignored, which will decline the outcome. Leg length inequality (LLI) is one of the complications of THA and may result in litigation, many methods have been reported to reduce LLI in THA, but no consensus is completed. The aim of the mini-review was to summarize all efforts to reduce even evite LLI and offer a reference in the clinical condition.

[1]
Gwam CU, Mistry JB, Mohamed NS, et al. Current epidemiology of revision total hip arthroplasty in the United States: national inpatient sample 2009 to 2013[J]. J Arthroplasty, 2017, 32(7): 2088-2092.
[2]
Desai AS, Dramis A, Board TN. Leg length discrepancy after total hip arthroplasty: a review of literature[J]. Curr Rev Musculoskelet Med, 2013, 6(4): 336-341.
[3]
Haleem AM, Wiley KF, Kuchinad R, et al. Total hip arthroplasty in patients with multifactorial perceived limb length discrepancy[J]. J Arthroplasty, 2017, 32(10): 3044-3051.
[4]
Sculco PK, Cottino U, Abdel MP, et al. Avoiding hip instability and limb length discrepancy after total hip arthroplasty[J]. Orthop Clin North Am, 2016, 47(2): 327-334.
[5]
Mahmood SS, Mukka SS, Crnalic S, et al. The influence of leg length discrepancy after total hip arthroplasty on function and quality of life: a prospective cohort study[J]. J Arthroplasty, 2015, 30(9): 1638-1642.
[6]
Nossa JM, Munoz JM, Riveros EA, et al. Leg length discrepancy after total hip arthroplasty: comparison of 3 intraoperative measurement methods[J]. Hip Int, 2018, 28(3): 254-258.
[7]
Renkawitz T, Weber T, Dullien S, et al. Leg length and offset differences above 5mm after total hip arthroplasty are associated with altered gait kinematics[J]. Gait Posture, 2016, 49(3): 196-201.
[8]
Halai M, Gupta S, Gilmour A, et al. The Exeter technique can Lead to a lower incidence of leg-length discrepancy after total hip arthroplasty[J]. Bone Joint J, 2015, 97-b(2): 154-159.
[9]
Hambright D, Hellman M, Barrack R. Intra-operative digital imaging: assuring the alignment of components when undertaking total hip arthroplasty[J]. Bone Joint J, 2018, 100-b(1 Supple A): 36-43.
[10]
Sayed NS, Hugo A, Sjoden GO, et al. Leg length discrepancy in total hip arthroplasty: comparison of two methods of measurement[J]. Int Orthop, 2009, 33(5): 1189-1193.
[11]
Ng VY, Kean JR, Glassman AH. Limb-length discrepancy after hip arthroplasty[J]. J Bone Joint Surg Am, 2013, 95(15): 1426-1436.
[12]
Flecher X, Ollivier M, Argenson JN. Lower limb length and offset in total hip arthroplasty[J]. Orthop Traumatol Surg Res, 2016, 102(1 Suppl): S9-20.
[13]
Goodman SB, Adler SJ, Fyhrie DP, et al. The acetabular teardrop and its relevance to acetabular migration[J]. Clin Orthop Relat Res, 1988(236): 199-204.
[14]
Kjellberg M, Al-Amiry B, Englund E, et al. Measurement of leg length discrepancy after total hip arthroplasty. The reliability of a plain radiographic method compared to CT-scanogram[J]. Skeletal Radiol, 2012, 41(2): 187-191.
[15]
Tipton SC, Sutherland JK, Schwarzkopf R. The assessment of limb length discrepancy before total hip arthroplasty[J]. J Arthroplasty, 2016, 31(4): 888-892.
[16]
Mcgee HM, Scott JH. A simple method of obtaining equal leg length in total hip arthroplasty[J]. Clin Orthop Relat Res, 1985, 194(194): 269-270.
[17]
Woolson ST, Harris WH. A method of intraoperative limb length measurement in total hip arthroplasty[J]. Clin Orthop Relat Res, 1985, 194(194): 207-210.
[18]
Matsuda K, Nakamura S, Matsushita T. A simple method to minimize limb-length discrepancy after hip arthroplasty[J]. Acta Orthop, 2006, 77(3): 375-379.
[19]
González Della Valle A, Slullitel G, Piccaluga F, et al. The precision and usefulness of preoperative planning for cemented and hybrid primary total hip arthroplasty[J]. J Arthroplasty, 2005, 20(1): 51-58.
[20]
Ranawat CS, Rao RR, Rodriguez JA, et al. Correction of limb-length inequality during total hip arthroplasty[J]. J Arthroplasty, 2001, 16(6): 715-720.
[21]
Konyves A, Bannister GC. The importance of leg length discrepancy after total hip arthroplasty[J]. J Bone Joint Surg Br, 2005, 87(2): 155-157.
[22]
Hossain M, Sinha AK. A technique to avoid leg-length discrepancy in total hip arthroplasty[J]. Ann R Coll Surg Engl, 2007, 89(3): 314-315.
[23]
Takigami I, Itokazu M, Itoh Y, et al. Limb-length measurement in total hip arthroplasty using a calipers dual pin retractor[J]. Bull NYU Hosp Jt Dis, 2008, 66(2): 107-110.
[24]
Lakshmanan P, Ahmed SM, Hansford RG, et al. Achieving the required medial offset and limb length in total hip arthroplasty[J]. Acta Orthop Belg, 2008, 74(1): 49-53.
[25]
Desai A, Barkatali B, Dramis A, et al. A simple intraoperative technique to avoid limb length discrepancy in total hip arthroplasty[J]. Surgeon, 2010, 8(2): 119-121.
[26]
Jennison TN, Craig P, Davis ED. A comparison of two different navigated hip replacement techniques on leg length discrepancy[J]. J Orthop, 2018, 15(3): 765-767.
[27]
Rajpaul J, Rasool MN. Leg length correction in computer assisted primary total hip arthroplasty: a collective review of the literature[J]. J Orthop, 2018, 15(2): 442-446.
[28]
Manzotti A, Cerveri P, De Momi E, et al. Does computer-assisted surgery benefit leg length restoration in total hip replacement? Navigation versus conventional freehand[J]. Int Orthop, 2011, 35(1): 19-24.
[29]
Murphy SB, Ecker TM. Evaluation of a new leg length measurement algorithm in hip arthroplasty[J]. Clin Orthop Relat Res, 2007, 463(463): 85-89.
[30]
Lecoanet P, Vargas M, Pallaro J, et al. Leg length discrepancy after total hip arthroplasty: can leg length be satisfactorily controlled via anterior approach without a traction table? Evaluation in 56 patients with EOS 3D[J]. Orthop Traumatol Surg Res, 2018, 104(8): 1143-1148
[31]
Parvizi J, Sharkey PF, Bissett GA, et al. Surgical treatment of limb-length discrepancy following total hip arthroplasty[J]. J Bone Joint Surg Am, 2003, 85-a(12): 2310-2317.
[32]
Mcwilliams AB, Lampropoulos A, Stone MH. Revision surgery for leg length inequality after primary hip replacement[J]. Hip Int, 2018, 28(5): 554-558.
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