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Leg length discrepancy in total hip arthroplasty: comparison of two methods of measurement
Department of Orthopaedic Surgery, Sundsvall Hospital, Sundsvall, Sweden.
Karolinska Department of Orthopaedic Surgery, Karolinska University Hospital, Stockholm, Sweden.
Department of Orthopaedic Surgery, Sundsvall Hospital, Sundsvall, Sweden.
Karolinska Department of Orthopaedic Surgery, Karolinska University Hospital, Stockholm, Sweden; Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.
2009 (English)In: International Orthopaedics, ISSN 0341-2695, E-ISSN 1432-5195, Vol. 33, no 5, 1189-1193 p.Article in journal (Refereed) Published
Abstract [en]

Measurement of leg length discrepancy is an important part in planning a successful total hip arthroplasty (THA). Many clinical and radiological methods with variable degrees of accuracy have been advocated to carry out this measurement. We studied the accuracy of a commonly used clinical method by comparing it to a well-known and reliable radiological method. A total of 139 patients aged 44-89 (mean: 67.5 years) scheduled to undergo THA were examined for clinical and radiological leg length discrepancy measurements before and after the operation by the same observers. There was a poor correlation between the clinical and radiological methods preoperatively [r = 0.21, intra-class correlation coefficient (ICC) = 0.33]. The correlation was better postoperatively (r = 0.45, ICC = 0.62). The clinical method used is not recommended for leg length discrepancy measurement preoperatively. Caution should even be taken when using this method postoperatively. The authors recommend using the radiological method when measuring leg length discrepancy as a part of planning for THA.

Place, publisher, year, edition, pages
New York, USA: Springer, 2009. Vol. 33, no 5, 1189-1193 p.
National Category
Medical and Health Sciences Orthopedics
Identifiers
URN: urn:nbn:se:oru:diva-55777DOI: 10.1007/s00264-008-0633-9ISI: 000270449400003PubMedID: 18677480Scopus ID: 2-s2.0-70349780027OAI: oai:DiVA.org:oru-55777DiVA: diva2:1074561
Available from: 2017-02-15 Created: 2017-02-15 Last updated: 2017-03-03Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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