Abstract
Introduction: Leg Length Discrepancy (LLD) is one of the main problems in Hip Arthroplasty. During surgery, despite a lot of defined methods, the gold-standard method has not existed yet. The purpose of this study was to evaluate the application program as a measurement method in hip arthroplasty operations and compare the application measurement methods. Methods: Between December 2018 and December 2019, 166 consecutive patients who had operated for primary coxarthrosis were included in the study. Two methods (sterile tape and application program) were used during the surgery to equalize the leg length difference. These methods were compared with each other and with preoperative and postoperative orthoroentgenography. Results: There was no statistically significant difference between the values measured with the preoperative and intraoperative application and the values measured with the preoperative and postoperative orthoroentgenography (p<0.05). There was a statistically significant difference between the values found as a result of measurement with sterile tape and the results found with the application (p<0.05). Conclusion: The application method is easy cheap and a reliable method for evaluating LLD during surgery. With this method, measurements can be made correctly. This method can be used as an additional or primary method in evaluating LLD.
Keywords
Leg Length Discrepancy Measurement with Application Intraoperative Measurement Coxarthrosis
References
- 1. Harkess JW CJ. Arthroplasty of the hip. In: Canale ST, Beaty JH, editors.Campbell’s operative orthopaedics. 11th ed. Philadelphia: Mosby:2007. p. 399.
- 2. Kurtz WB. In situ leg length measurement technique in hip arthroplasty. The Journal of arthroplasty. 2012;27(1):66-73.
- 3. Konyves A, Bannister G. The importance of leg length discrepancy after total hip arthroplasty. The Journal of bone and joint surgery British volume. 2005;87(2):155-7.
- 4. Ranawat CS, Rao RR, Rodriguez JA, Bhende HS. Correction of limb-length inequality during total hip arthroplasty. The Journal of arthroplasty. 2001;16(6):715-20.
- 5. Keršič M, Dolinar D, Antolič V, Mavčič B. The impact of leg length discrepancy on clinical outcome of total hip arthroplasty: comparison of four measurement methods. The Journal of arthroplasty. 2014;29(1):137-41.
- 6. McWilliams AB, Grainger AJ, O'Connor PJ, Redmond AC, Stewart TD, Stone MH. A review of symptomatic leg length inequality following total hip arthroplasty. Hip International. 2013;23(1):6-14.
- 7. Parvizi J, Sharkey PF, Bissett GA, Rothman RH, Hozack WJ. Surgical treatment of limb-length discrepancy following total hip arthroplasty. JBJS. 2003;85(12):2310-7.
- 8. Mahmood SS, Al-Amiry B, Mukka SS, Baea S, Sayed-Noor AS. Validity, reliability and reproducibility of plain radiographic measurements after total hip arthroplasty. Skeletal radiology. 2015;44(3):345-51.
- 9. Zhang Y, He W, Cheng T, Zhang X. Total hip arthroplasty: leg length discrepancy affects functional outcomes and patient’s gait. Cell biochemistry and biophysics. 2015;72(1):215-9.
- 10. Maloney WJ, Keeney JA. Leg length discrepancy after total hip arthroplasty. The Journal of arthroplasty. 2004;19(4):108-10.
- 11. Tanaka R, Shigematsu M, Motooka T, Mawatari M, Hotokebuchi T. Factors influencing the improvement of gait ability after total hip arthroplasty. The Journal of arthroplasty. 2010;25(6):982-5.
- 12. Rösler J, Perka C. The effect of anatomical positional relationships on kinetic parameters after total hip replacement. International orthopaedics. 2000;24(1):23-7.
- 13. Plaass C, Clauss M, Ochsner PE, Ilchmann T. Influence of leg length discrepancy on clinical results after total hip arthroplasty-A prospective clinical trial. Hip international. 2011;21(4):441-9.
- 14. Patterson DC, Grelsamer RP, Bronson MJ, Moucha CS. Lawsuits after primary and revision total hip arthroplasties: a malpractice claims analysis. The Journal of arthroplasty. 2017;32(10):2958-62.
- 15. Hofmann AA, Skrzynski MC. Hip Arthroplasty: Headaches & Migraines: Leg-Length Inequality and Nerve Palsy in Total Hip Arthroplasty: A Lawyer Awaits! Orthopedics. 2000;23(9):943-4.
- 16. Meermans G, Malik A, Witt J, Haddad F. Preoperative radiographic assessment of limb-length discrepancy in total hip arthroplasty. Clinical Orthopaedics and Related Research®. 2011;469(6):1677-82.
- 17. Ogawa K, Kabata T, Maeda T, Kajino Y, Tsuchiya H. Accurate leg length measurement in total hip arthroplasty: a comparison of computer navigation and a simple manual measurement device. Clinics in orthopedic surgery. 2014;6(2):153-8.
- 18. Papadopoulos DV, Koulouvaris P, Aggelidakis GC, Tsantes AG, Lykissas MG, Mavrodontidis A. Intraoperative measurement of limb lengthening during total hip arthroplasty. Indian journal of orthopaedics. 2017;51(2):162.
- 19. Hofmann AA, Bolognesi M, Lahav A, Kurtin S. Minimizing leg-length inequality in total hip arthroplasty: use of preoperative templating and an intraoperative x-ray. American Journal Of Orthopedics 2008;37(1):18.
- 20. Noble PC, Sugano N, Johnston JD, et al. Computer simulation: how can it help the surgeon optimize implant position? Clinical orthopaedics and related research. 2003;417:242-52.
- 21. Nossa JM, Muñoz JM, Riveros EA, Rueda G, Márquez D, Pérez J Leg length discrepancy after total hip arthroplasty: Comparison of 3 intraoperative measurement methods Hip International 2018;28:254-258.
- 22. Rice IS, Stowell RL, Viswanath PC, Cortina GJ Three intraoperative methods to determine limb-length discrepancy in THA. Orthopedics 2014;37:488-495.
- 23. Licini DJ, Burnikel DJ, Meneghini RM, Ochsner JL Comparison of limb-length discrepancy after THA: with and without computer navigation. Orthopedics 2013;36:543-547.
- 24. Tipton SC, Sutherland JK, Schwarzkopf R The assessment of limb length discrepancy before total hip arthroplasty. The Journal of arthroplasty 2013;31:888-892.
- 25. Piyakunmala K Sangkomkamhang T Measurement of Patient's Perception on Limb-Length Discrepancy Compared with Weight-Bearing Orthoroentgenography in Total Hip Arthroplasty: A Prospective Study. The Journal of arthroplasty 2018; 33:2301-2305.
- 26. Loughenbury FA, McWilliams AB, Stewart TD, Redmond AC, Stone MH. Hip surgeons and leg length inequality after primary hip replacement. Hip Int. 2019;29(1):102-108.
Ameliyat Sırasında Akıllı Telefon Uygulaması ile Bacak Uzunluk Ölçümü: Kullanışlı, Kolay ve Güvenilir Yöntem
Abstract
Giriş: Bacak Uzunluk Eşitsizliği (BUE), Kalça Artroplastisindeki ana problemlerden biridir. Ameliyat sırasında tanımlanmış birçok yönteme rağmen altın standart yöntem henüz mevcut değildir. Bu çalışmanın amacı, kalça artroplastisi ameliyatlarında bir ölçüm yöntemi olarak akıllı telefon uygulama programını değerlendirmek ve uygulama ölçüm yöntemlerini karşılaştırmaktır. Yöntemler: Aralık 2018 ile Aralık 2019 tarihleri arasında primer koksartroz nedeniyle opere edilen ardışık 166 hasta çalışmaya dahil edildi. Ameliyat sırasında bacak uzunluğunu eşitlemek için iki yöntem (steril mezura ve uygulama programı) kullanıldı. Bu yöntemler birbirleriyle ve ameliyat öncesi ve sonrası ortoröntgenografi ile karşılaştırıldı. Bulgular: Preoperatif ve intraoperatif uygulama ile ölçülen değerler ile preoperatif ve postoperatif ortoröntgenografi ile ölçülen değerler arasında istatistiksel olarak anlamlı fark yoktu (p<0.05). Steril mezura ile yapılan ölçüm sonucu bulunan değerler ile uygulama ile bulunan sonuçlar arasında istatistiksel olarak anlamlı fark bulundu (p<0.05). Sonuç: Uygulama programı kullanımı, ameliyat sırasında BUE'ni değerlendirmek için kullanılan kolay, ucuz ve güvenilir bir yöntemdir. Bu yöntemle ölçümler doğru bir şekilde yapılabilmektedir. Bu yöntem, BUE'ni değerlendirmede ek veya birincil yöntem olarak kullanılabilir.
References
- 1. Harkess JW CJ. Arthroplasty of the hip. In: Canale ST, Beaty JH, editors.Campbell’s operative orthopaedics. 11th ed. Philadelphia: Mosby:2007. p. 399.
- 2. Kurtz WB. In situ leg length measurement technique in hip arthroplasty. The Journal of arthroplasty. 2012;27(1):66-73.
- 3. Konyves A, Bannister G. The importance of leg length discrepancy after total hip arthroplasty. The Journal of bone and joint surgery British volume. 2005;87(2):155-7.
- 4. Ranawat CS, Rao RR, Rodriguez JA, Bhende HS. Correction of limb-length inequality during total hip arthroplasty. The Journal of arthroplasty. 2001;16(6):715-20.
- 5. Keršič M, Dolinar D, Antolič V, Mavčič B. The impact of leg length discrepancy on clinical outcome of total hip arthroplasty: comparison of four measurement methods. The Journal of arthroplasty. 2014;29(1):137-41.
- 6. McWilliams AB, Grainger AJ, O'Connor PJ, Redmond AC, Stewart TD, Stone MH. A review of symptomatic leg length inequality following total hip arthroplasty. Hip International. 2013;23(1):6-14.
- 7. Parvizi J, Sharkey PF, Bissett GA, Rothman RH, Hozack WJ. Surgical treatment of limb-length discrepancy following total hip arthroplasty. JBJS. 2003;85(12):2310-7.
- 8. Mahmood SS, Al-Amiry B, Mukka SS, Baea S, Sayed-Noor AS. Validity, reliability and reproducibility of plain radiographic measurements after total hip arthroplasty. Skeletal radiology. 2015;44(3):345-51.
- 9. Zhang Y, He W, Cheng T, Zhang X. Total hip arthroplasty: leg length discrepancy affects functional outcomes and patient’s gait. Cell biochemistry and biophysics. 2015;72(1):215-9.
- 10. Maloney WJ, Keeney JA. Leg length discrepancy after total hip arthroplasty. The Journal of arthroplasty. 2004;19(4):108-10.
- 11. Tanaka R, Shigematsu M, Motooka T, Mawatari M, Hotokebuchi T. Factors influencing the improvement of gait ability after total hip arthroplasty. The Journal of arthroplasty. 2010;25(6):982-5.
- 12. Rösler J, Perka C. The effect of anatomical positional relationships on kinetic parameters after total hip replacement. International orthopaedics. 2000;24(1):23-7.
- 13. Plaass C, Clauss M, Ochsner PE, Ilchmann T. Influence of leg length discrepancy on clinical results after total hip arthroplasty-A prospective clinical trial. Hip international. 2011;21(4):441-9.
- 14. Patterson DC, Grelsamer RP, Bronson MJ, Moucha CS. Lawsuits after primary and revision total hip arthroplasties: a malpractice claims analysis. The Journal of arthroplasty. 2017;32(10):2958-62.
- 15. Hofmann AA, Skrzynski MC. Hip Arthroplasty: Headaches & Migraines: Leg-Length Inequality and Nerve Palsy in Total Hip Arthroplasty: A Lawyer Awaits! Orthopedics. 2000;23(9):943-4.
- 16. Meermans G, Malik A, Witt J, Haddad F. Preoperative radiographic assessment of limb-length discrepancy in total hip arthroplasty. Clinical Orthopaedics and Related Research®. 2011;469(6):1677-82.
- 17. Ogawa K, Kabata T, Maeda T, Kajino Y, Tsuchiya H. Accurate leg length measurement in total hip arthroplasty: a comparison of computer navigation and a simple manual measurement device. Clinics in orthopedic surgery. 2014;6(2):153-8.
- 18. Papadopoulos DV, Koulouvaris P, Aggelidakis GC, Tsantes AG, Lykissas MG, Mavrodontidis A. Intraoperative measurement of limb lengthening during total hip arthroplasty. Indian journal of orthopaedics. 2017;51(2):162.
- 19. Hofmann AA, Bolognesi M, Lahav A, Kurtin S. Minimizing leg-length inequality in total hip arthroplasty: use of preoperative templating and an intraoperative x-ray. American Journal Of Orthopedics 2008;37(1):18.
- 20. Noble PC, Sugano N, Johnston JD, et al. Computer simulation: how can it help the surgeon optimize implant position? Clinical orthopaedics and related research. 2003;417:242-52.
- 21. Nossa JM, Muñoz JM, Riveros EA, Rueda G, Márquez D, Pérez J Leg length discrepancy after total hip arthroplasty: Comparison of 3 intraoperative measurement methods Hip International 2018;28:254-258.
- 22. Rice IS, Stowell RL, Viswanath PC, Cortina GJ Three intraoperative methods to determine limb-length discrepancy in THA. Orthopedics 2014;37:488-495.
- 23. Licini DJ, Burnikel DJ, Meneghini RM, Ochsner JL Comparison of limb-length discrepancy after THA: with and without computer navigation. Orthopedics 2013;36:543-547.
- 24. Tipton SC, Sutherland JK, Schwarzkopf R The assessment of limb length discrepancy before total hip arthroplasty. The Journal of arthroplasty 2013;31:888-892.
- 25. Piyakunmala K Sangkomkamhang T Measurement of Patient's Perception on Limb-Length Discrepancy Compared with Weight-Bearing Orthoroentgenography in Total Hip Arthroplasty: A Prospective Study. The Journal of arthroplasty 2018; 33:2301-2305.
- 26. Loughenbury FA, McWilliams AB, Stewart TD, Redmond AC, Stone MH. Hip surgeons and leg length inequality after primary hip replacement. Hip Int. 2019;29(1):102-108.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | August 1, 2022 |
| Published in Issue | Year 2022 Volume: 3 Issue: 2 |
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