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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 2, 155-157.
doi: 10.1302/0301-620X.87B2.14878  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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The importance of leg length discrepancy after total hip arthroplasty

A. Konyves, MD, Senior House Officer; and G. C. Bannister, MD, MCh(Orth), FRCS, Consultant Orthopaedic Surgeon

Avon Orthopaedic Centre, Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, UK.

Correspondence should be sent to Mr G. C. Bannister; e-mail: bannistergordon{at}hotmail.com

We assessed leg length discrepancy and hip function in 90 patients undergoing primary total hip arthroplasty before surgery and at three and 12 months after. Function was measured using the Oxford hip score (OHS). After surgery the mean OHS improved by 26 points after three months and by 30 points after 12.

After operation 56 (62%) limbs were long by a mean of 9 mm and this was perceived by 24 (43%) patients after three months and by 18 (33%) after 12. The mean OHS in patients who perceived true lengthening was 27% worse than the rest of the population after three months and 18% worse after 12. In 55 (98%) patients, lengthening occurred in the femoral component. Appropriate placement of the femoral component could significantly reduce a patient’s perception of discrepancy of length.




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The importance of leg length discrepancy after total hip arthroplasty
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eLetters:

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Does size matter?
Winston Y Kim
J Bone Joint Surg Br Online, 25 Feb 2005 [Full text]
Response to Mr Kim
G C Bannister
J Bone Joint Surg Br Online, 18 Apr 2005 [Full text]

(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General