Limb-Length Measurement in Total Hip Arthroplasty Using a Calipers Dual Pin Retractor

被引:1
作者
Takigami, Iori [1 ]
Itokazu, Mansho [1 ]
Itoh, Yoshiki [1 ]
Matsumoto, Kazu [1 ]
Yamamoto, Takatoshi [1 ]
Shimizu, Katsuji [1 ]
机构
[1] Gifu Univ, Sch Med, Dept Orthopaed Surg, 1-1 Yanagido, Gifu 5011194, Japan
来源
BULLETIN OF THE HOSPITAL FOR JOINT DISEASES | 2008年 / 66卷 / 02期
关键词
D O I
暂无
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
Background: Limb-length inequality is not uncommon after total hip arthroplasty (THA) and may cause subjective problems for patients. During THA a stable reference point must be established to determine changes in leg length. Several methods have been useful in minimizing the incidence and magnitude of this problem. The equalization of leg-length discrepancy during THA can be achieved through the use of a simple measuring device, the calipers dual pin retractor (CDPR). Materials and methods: The CDPR was developed to establish a fixed point on the pelvis that would remain constant throughout the procedure and from which the distance to the greater trochanter could be measured prior to dislocation of the hip. Limb lengths were measured in 56 patients undergoing primary THA, between 2004 and 2006. The CDPR was used in all cases. Results: The preoperative diagnoses were osteoarthritis in 44 patients, osteonecrosis in five, and rheumatoid arthritis in seven. Average postoperative limb-length inequality was 4.2 mm. None of the patients had to use shoe lifts for equalization of limb lengths or complained of limb-length inequality. Conclusion: This method of measurement is beneficial with most THA approaches, and the technique is helpful for minimizing limb-length inequality during THA.
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页码:107 / 110
页数:4
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