Evidence map›Paper›PMID 36629905›Full record

ReviewArchives of orthopaedic and trauma surgery2023

Perioperative management of leg-length discrepancy in total hip arthroplasty: a review.

Rohan A Gheewala, Joseph R Young, Benjamin Villacres Mori, Akshay Lakra, Matthew R DiCaprio

Abstract readReview
PubMed Publisher
In one paragraph

Review in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Rohan A GheewalaDepartment of Orthopedic Surgery, Albany Medical Center, 43 New Scotland Ave, MC-184, Albany, NY, 12208, USA. Ro51092@gmail.com.ORCID http://orcid.org/0000-0001-9701-7893
Joseph R YoungDepartment of Orthopedic Surgery, Albany Medical Center, 43 New Scotland Ave, MC-184, Albany, NY, 12208, USA.
Benjamin Villacres MoriDepartment of Orthopedic Surgery, Albany Medical Center, 43 New Scotland Ave, MC-184, Albany, NY, 12208, USA.
Akshay LakraDepartment of Orthopedic Surgery, Albany Medical Center, 43 New Scotland Ave, MC-184, Albany, NY, 12208, USA.
Matthew R DiCaprioDepartment of Orthopedic Surgery, Albany Medical Center, 43 New Scotland Ave, MC-184, Albany, NY, 12208, USA.
Albany Medical Center Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Arthroplasty, Replacement, HipHumansLegLeg Length InequalityIntraoperative measurementLeg length discrepancyPreoperative considerationsTemplatingTotal hip arthroplasty

Identifiers

PMID36629905
OpenAlexW4315498457

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.