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BMC Musculoskeletal Disorders

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Open Access 01-12-2019 | Hip Dysplasia | Research article

Calculation method to predict postoperative limb length in patients undergoing THA following developmental dysplasia of hips

Authors: Renwen Guo, Jerry Yongqiang Chen, Guoqiang Zhang, Yonggang Zhou, Jiying Chen, Wei Chai

Published in: BMC Musculoskeletal Disorders | Issue 1/2019

Abstract

Background

Limb length discrepancy (LLD) is one of the main cause of dissatisfaction after total hip arthroplasty (THA). The teardrop-lesser trochanter method can accurately predict and analyze LLD for healthy people. However, for patients with preoperative LLD, no method for predicting postoperative LLD is currently available, and these patients are highly susceptible to more severe LLD after THA. Accordingly, this study proposed a calculation method to predict postoperative limb length for these patients.

Methods

Eighty patients who underwent THA between May 2016 and October 2018 due to unilateral developmental dysplasia of the hip (DDH) were evaluated. Relevant parameters were measured from radiographs of full-length lower limbs, e.g. the distance between the rotation center of the hip and the midpoint of the tibial plafond and the distance between the point which was marked at the same height as the lesser trochanter on the anatomical long axis of the femur and the midpoint of the tibial plafond. Then, a mathematical model was established by simplifying the structure from the hip to the ankle. The relationship between the placement position of the prosthesis and the LLD value was calculated by Law of Sines and Iterative Calculation.

Results

The preoperatively predicted LLD values and the postoperatively measured LLD values were compared, yielding a mean absolute difference of 3.7 (range, 0.1 to 8.6) mm. The intraclass correlation coefficient (ICC) of the two parameters exhibited strong reliability (ICC = 0.911, 95%CI, 0.795 to 0.955). The Bland-Altman plot also showed good conformity between the two parameters.

Conclusions

The proposed calculation method effectively predicted the postoperative LLD using preoperative parameters. Despite the complexity of the method, it can go a long way towards reducing the occurrence of severe postoperative LLD in DDH-THA.

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Title: Calculation method to predict postoperative limb length in patients undergoing THA following developmental dysplasia of hips
Authors: Renwen Guo
Jerry Yongqiang Chen
Guoqiang Zhang
Yonggang Zhou
Jiying Chen
Wei Chai
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Hip Dysplasia
Hip-TEP
Hip-TEP
Published in: BMC Musculoskeletal Disorders / Issue 1/2019
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-019-2903-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Calculation method to predict postoperative limb length in patients undergoing THA following developmental dysplasia of hips

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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