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A simple method to minimize leg length discrepancy in hip hemiarthroplasty

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单位: [1]Department of Orthopaedics, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, People’s Republic of China [2]Department ofOrthopaedics, Beijing Tongren Hospital,Capital Medical University, Beijing100730, People’s Republic of China
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关键词: leg length discrepancy hip arthroplasty femoral neck fracture contralateral side measurement

摘要:
Purpose: We developed a simple method to minimize leg length discrepancy (LLD) during hip arthroplasty. The purpose of this study is to evaluate the accuracy of the method. Patients and methods: A total of 47 patients who suffered from unilateral femoral neck fracture and underwent hip hemiarthroplasty between 2015 and 2018 were enrolled in this study. We measured the diameter of the contralateral femoral head (D) and the distance (L) between the center of the femoral head and the top of lesser trochanter in the antero-posterior pelvic X-ray view before the operation, the ratio (R) of D to L was calculated. During the operation, the diameter of the femoral head (d) was measured using a Vernier caliper. Then, the distance should be obtained from the center of the femoral head prosthesis to the lesser trochanter was calculated according to the contralateral ratio R. Results: The mean LLD was 4.4 +/- 3.2 mm (-4.0 to 11.1 mm), 80.9% of the patients had LLD <6 mm, 93.6% of the patients with LLD <10 mm, only 6.4% >= 10 mm LLD. Conclusion: This method is a simple, cost-effective, fast and accurate way to reduce the postoperative leg length discrepancy.

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出版当年[2018]版:
大类 | 3 区 医学
小类 | 4 区 老年医学
最新[2025]版:
大类 | 2 区 医学
小类 | 3 区 老年医学
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出版当年[2017]版:
Q3 GERIATRICS & GERONTOLOGY
最新[2024]版:
Q2 GERIATRICS & GERONTOLOGY

影响因子: 最新[2024版] 最新五年平均[2021-2025] 出版当年[2017版] 出版当年五年平均[2013-2017] 出版前一年[2016版] 出版后一年[2018版]

第一作者:
第一作者单位: [1]Department of Orthopaedics, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, People’s Republic of China [2]Department ofOrthopaedics, Beijing Tongren Hospital,Capital Medical University, Beijing100730, People’s Republic of China
通讯作者:
通讯机构: [1]Department of Orthopaedics, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, People’s Republic of China [*1]Department of Orthopaedics, Beijing Friendship Hospital, Capital Medical University, No 95, YongAn Road, Xicheng District, Beijing 100050, People’s Republic of China
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