M. Jasty et al., MANAGEMENT OF LIMB LENGTH INEQUALITY DURING TOTAL HIP-REPLACEMENT, Clinical orthopaedics and related research, (333), 1996, pp. 165-171
Significant limb length inequality is not an uncommon problem after to
tal hip replacement, Preoperative measurement of limb Length inequalit
y, preoperative planning with radiographic templates, and intraoperati
ve correction with measurements of limb lengths before and after the i
nsertion of the trial components using special calipers can reduce the
incidence and magnitude of this problem. A review of 85 consecutive p
atients who had primary total hip arthroplasty in which these techniqu
es were used by a single surgeon, showed that 43 had limb inequality p
reoperatively ranging from 0.5 to 7.25 cm, but only 14 (16%) had limb
length inequality after surgery, Eleven limbs (13%) had been lengthene
d 0.5 to 1 cm compared with the contralateral limb, Of the 42 patients
with equal limb lengths preoperatively, 3 had a lengthened limb posto
peratively compared with their contralateral limb, Four patients were
using lifts on the same side because the limb was too short, and 2 wer
e using lifts on the other side because the limb was too long, None of
the other patients complained about limb length inequality, The techn
iques described above are helpful in minimizing limb length inequality
during total hip replacements.