Observational studyEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2019
Patient-dependent risk factors for self-perceived leg length discrepancy after total hip arthroplasty.
Observational study in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Gender equality challenges in orthopaedic surgery: a systematic review.International orthopaedics · 2023Pooled it
- Perceived leg length discrepancy after total hip arthroplasty is associated with global spinopelvic coronal flexibility.Archives of orthopaedic and trauma surgery · 2026Article
- Multicenter survey about leg length discrepancy and total hip arthroplasty: postoperative management.Musculoskeletal surgery · 2025Article
- Article
- Minimal pre-operative leg length discrepancy as a risk factor of post-operative leg length discrepancy after total hip arthroplasty: a retrospective study of patients with non-traumatic osteonecrosis of the femoral head.BMC musculoskeletal disorders · 2023Article
- The influence of prosthetic positioning and proximal femoral morphology on leg length discrepancy and early clinical outcomes of cementless total hip arthroplasty.Journal of orthopaedic surgery and research · 2023Article
- Anterolateral approach may be superior to posterolateral approach in controlling postoperative lower limb discrepancy in primary total hip arthroplasty: A single-center, retrospective cohort study.Joint diseases and related surgery · 2023Article
- Intramedullary Nailing for Atypical Femoral Fracture With Lateral Bowing: Does Medial Gap Matter?Geriatric orthopaedic surgery & rehabilitation · 2022Article
- Leg length measures appear inaccurate in the early phase following total hip arthroplasty.Scientific reports · 2021Observational
- Hip-Sparing Equalization Procedures for Leg-Length Discrepancy After Total Hip Arthroplasty: A Retrospective Case Series.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2020Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePatients with equal objective leg length discrepancy (LLD) may have different subjective perceptions of this condition. Our aim was to analyze the effects of gender, age, operated side, surgical approach, body height, body mass index (BMI) and LLD measurements on self-perceived LLD after total hip arthroplasty (THA). MATERIALS AND
methodsObservational cohort study with minimum 5-year follow-up included 159 patients with unilateral primary THA at a single institution, who reported subjective feeling of equal or unequal leg lengths after THA. Gender, age, body height, BMI, surgical approach, preoperative and postoperative absolute/relative/pelvic radiographic LLD measurements were included in direct comparison between groups and multivariate analyses with self-perceived LLD as the outcome variable.
resultsOut of 159 participants, 39% subjectively perceived postoperative LLD, while others reported equal leg lengths. The two groups postoperatively differed in the median relative LLD (10 mm vs. 5 mm; p = 0.01) and WOMAC (230 mm vs. 110 mm; p < 0.01), but not in the pelvic radiographic LLD. After adjustment for gender, age, operated side and surgical approach, postoperative relative LLD (odds ratio 1.38 for each 5 mm increment; 95% CI 1.01-1.74) and combination of BMI < 26 kg/m
conclusionsClinical relative LLD measurements are better predictors of self-perceived postoperative LLD than pelvic radiographic measurements. Patients with smaller body dimensions will more likely report subjective leg length inequality at a given objective LLD, regardless of gender or age.
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