Title: Prevention of leg length discrepancy by measurement marked with Bryant triangle during total hip arthroplasty
Abstract:Objective To study the prevention of leg length discrepancy by measurement marked with Bryant triangle during total hip arthroplasty.Methods 126 cases undergoing the unilateral primary total hip arthr...Objective To study the prevention of leg length discrepancy by measurement marked with Bryant triangle during total hip arthroplasty.Methods 126 cases undergoing the unilateral primary total hip arthroplasty were retrospectively studied.The extent of limb length discrepancy was preoperatively evaluated by clinical and radiographic measurements,and the suitable size and place for the prosthetic implantation were predicted.The distance between Bryant triangle marked point and greater trochanter was detected and used to achieve limb length equality during operation.Results 126 cases were followed up for 3~26(9.5±0.5).Preoperatively,the leg length discrepancy were 0~5mm in 20.6%,5~10 mm in 46.0%;10~15 mm in 16.7%;15~20 mm in 10.3%,and ﹥20mm in 6.4%.After operation,the leg length discrepancy were improved to 0~5 mm in 50.8%,5~10 mm in 33.3%,10~15 mm in 7.9%,15~20 mm in 5.6%,and 20 mm in 2.4%.Luxation happened in 2 cases and cured by traction reduction,and there were thigh pain in 3 cases and sciatic nerve pain in 1 case,which were eased by corresponding treatment.Conclusions Measureing the distance between Bryant triangle marked point and greater trochanter to prevent limb discrepancy during total hip arthroplasty is a very effective way.Read More
Publication Year: 2010
Publication Date: 2010-01-01
Language: en
Type: article
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