FREQUENCY OF LLD IN PATIENTS UNDERGONE TOTAL HIP REPLACEMENT SURGERY BY CLINICAL AND RADIOLOGICAL METHOD
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Keywords
Total hip arthroplasty, Limb length discrepancy, Intraoperative techniques
Abstract
Background: Total hip replacement, also called total hip arthroplasty (THA), is major surgery in orthopedics. It involves the replacement of damaged bone of femur head with prosthesis.
Objective: To determine the frequency of LLD in patient undergone total hip replacement surgery by clinical and radiological method.
Setting: Department of Orthopedics Surgery, MTI-HMC, Peshawar.
Duration of study: 18 March, 2021 to 18 August 2021
Study design: Descriptive Case Study.
Subjects and methods: All patient’s limb length was measured by both methods, clinical and radiological. The difference of more than 2 cm as per operational definition was noted as presence of LLD. All the radiograph (AP views) was taken by the same radiologist with the researcher (myself) accompanied.
Results: As per frequencies and percentages for presence of LLD (Clinical Method), 40 (27.8%) patients were recorded with LLD. (Table No. 4). As per frequencies and percentages for presence of LLD (Radiological Method), 58 (40.3%) patients were recorded with LLD.
Conclusion: Based on the findings of this study, it can be concluded that the combined use of clinical and radiological methods provides added advantage and confidence to the surgeon for measuring leg length during THA and it surely helps the surgeon to select appropriate implants and to adjust final leg lengths without compromising the stability of the hip.
References
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Farman Ullah
Registrar Ortho HMC
Muhammad Ibrahim Khan
Consultant Orthopedic Surgeon
Fareeha Khalid
Medical Student
Sohail Rehman
Consultant Paediatric Orthopedic Surgeon
Asif Nawaz
Registrar Ortho HMC
Murad Ali
Consultant Orthopedic Surgeon
Baqir Hussain
Assistant Professor, MTI LRH