ArticleCureus2025
Evaluating the Reliability of the Lesser Trochanter as a Landmark for Limb Length Discrepancy in Direct Anterior Approach Total Hip Arthroplasty.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and aim Limb length discrepancy (LLD) is a common complication following total hip arthroplasty (THA), significantly impacting functional outcomes, patient satisfaction, and quality of life. The direct anterior approach (DAA) for THA has gained popularity due to its potential for minimizing LLD through precise intraoperative control. Despite advancements, achieving limb length equality remains challenging, particularly in the Indian patient population, where anatomical variations may affect surgical outcomes. The lesser trochanter (LT) is frequently utilized as a landmark for intraoperative LLD assessment. However, the reliability of the LT in DAA-THA remains debated. This study aimed to evaluate the accuracy and consistency of using the LT as an intraoperative reference for LLD correction in DAA-THA. Methods A retrospective cohort analysis was conducted on 130 patients who underwent DAA-THA at a high-volume tertiary care center between January 2023 and December 2023. Patients were selected based on the inclusion criteria of age >18 years, availability of preoperative and postoperative radiographs, and adequate fluoroscopic imaging during surgery. The LT was used as the primary landmark for limb length restoration. Intraoperative fluoroscopy and standardized leg positioning systems were employed to ensure accurate component placement. Preoperative and postoperative LLD were measured using standardized radiographic techniques, and functional outcomes were assessed through the Harris Hip Score (HHS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Forgotten Joint Score (FJS). Statistical analysis was performed to determine the association between LLD correction and functional recovery. Results The cohort had a mean age of 57.1 years, with 70% males and 30% females. The mean BMI was 27.1 ± 4.4 kg/m
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.