The Influence of Leg Length Discrepancy after Total Hip Arthroplasty on Function and Quality of Life: A Prospective Cohort Study

被引：54
作者：
Mahmood, Sarwar S.
Mukka, Sebastian S.
Crnalic, Sead
Sayed-Noor, Arkan S.
机构：
[1] Umea Univ, Sundsvall Univ Hosp, Dept Surg & Perioperat Sci Orthopaed, S-85186 Sundsvall, Sweden
[2] Umea Univ, Norrland Univ Hosp, S-85186 Sundsvall, Sweden
来源：
JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 09期
关键词：
total hip arthroplasty; leg length discrepancy; WOMAC; quality of life; complication; PATIENT SATISFACTION; KNEE REPLACEMENT; INEQUALITY; OUTCOMES; INSTRUMENT; IMPACT;
D O I：
10.1016/j.arth.2015.04.012
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
We investigated whether patients with lengthening (> 9 mm), restoration (between 9 mm lengthening and 5 mm shortening) or shortening (> 5 mm) of the operated leg after total hip arthroplasty (THA) had different function (WOMAC score), quality of life (EQ-5D), residual hip pain, use of shoe lift and walking aid and leg length discrepancy (LLD) awareness, 12-15 months postoperatively. All patients had a significant postoperative improvement in WOMAC and EQ-5D regardless the LLD. However, the lengthening group showed less improvement in WOMAC, more use of shoe lift, residual hip pain and LLD awareness compared with the other two groups. No differences in EQ-5D were found. In spite of the improvement in function and quality of life, lengthening had adverse effects and should therefore be avoided. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码：1638 / 1642
页数：5
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