Evaluation and compensation of lower limb length discrepancy after surgical treatment of developmental hip dysplasia

1998 ◽  
Vol 8 (4) ◽  
pp. 175-178 ◽  
Author(s):  
A. Biçimoğlu ◽  
H. Ömeroğlu ◽  
A. Y. Tabak ◽  
A. Uçaner ◽  
U. Günel
Keyword(s):  
Surgical Treatment ◽  
Lower Limb ◽  
Hip Dysplasia ◽  
Limb Length Discrepancy ◽  
Limb Length ◽  
Developmental Hip Dysplasia ◽  
Length Discrepancy

scholarly journals COMBINATION OF DISTRACTION OSTEOSYNTHESIS AND BONE PLASTIC AT TREATMENT OF CHILDREN WITH CONGENITAL LOW LIMB-LENGTH DISCREPANCY

2010 ◽  
Vol 16 (3) ◽  
pp. 61-67
Author(s):  
A. P. Pozdeev ◽  
E. V. Bukharev
Keyword(s):  
Surgical Treatment ◽  
Bone Regeneration ◽  
Treatment Period ◽  
Lower Limb ◽  
Limb Length Discrepancy ◽  
Limb Length ◽  
Control Group ◽  
Basic Group ◽  
Length Discrepancy ◽  
Distraction Osteosynthesis

Research objective was the estimation of combination distraction osteosynthesis with bone plastic in treatment of children with congenital lower limb discrepancy. Results of surgical treatment of 26 children (17 girl and 9 boys) with congenital lower limb-length discrepancy are analyzed. The method consists in creation of superfluous osteogenesis in the field of prospective lengthening. The control group included 10 patients with whom lengthening was carried out by typical way. Results: at the analysis of roentgenograms faster formation of a new bone has been revealed in basic group (on the average for 7,8 days faster on each centimetre of lengthening). Combination of distraction osteosynthesis and combined bone plastics shortened the treatment period by accelerating new bone regeneration during distraction osteogenesis of the children with congenital low limb-length discrepancy.

scholarly journals Intramedullary Bone Lengthening Following Preceding Hip Surgery—A Case Series

2020 ◽  
Vol 9 (12) ◽  
pp. 4104
Author(s):  
Lukas Zak ◽  
Thomas Manfred Tiefenboeck ◽  
Gerald Eliot Wozasek
Keyword(s):  
Hip Dysplasia ◽  
Young Patients ◽  
Limb Lengthening ◽  
Limb Length Discrepancy ◽  
Limb Length ◽  
Hip Surgery ◽  
Bone Lengthening ◽  
Safe Procedure ◽  
Length Discrepancy ◽  
Healing Index

Limb length discrepancy (LLD) is a common problem after joint-preserving hip surgeries, hip dysplasia, and hip deformities. Limping, pain, sciatica, paresthesia, and hip instability are common clinical findings and may necessitate limb-lengthening procedures. The study included five patients (two female and three male, mean age of 28 years (20–49; SD: 12)) with symptomatic limb length discrepancy greater than 2.5 cm (mean: 3.6 cm) after total hip arthroplasty (THA), hip dysplasia, or post-traumatic hip surgery. They underwent either ipsi- or contralateral intramedullary limb-lengthening surgeries using the PRECICE™ telescopic nail. All patients achieved complete bone healing and correction of the pelvic obliquity after intramedullary lengthening. None of the patients had a loss of proximal or distal joint motion. The mean distraction-consolidation time (DCT) was 3.8 months, the distraction index (DI) 0.7 mm/day, the lengthening index (LI) 1.8 months/cm, the consolidation index (CI) 49.2 days/cm, the healing index (HI) 1.1 months/cm, and the modified healing index (HI*) 34 days/cm. Intramedullary limb lengthening after LLD in cases of hip dysplasia, hip deformity, and various kinds of hip surgery is a useful and safe procedure in young patients to achieve equal limb length. No functional impairment of the preceded hip surgery was seen.

scholarly journals Total hip arthroplasty and femoral nail lengthening for hip dysplasia and limb-length discrepancy

2018 ◽  
Vol 4 (3) ◽  
pp. 279-286 ◽  
Author(s):  
Elizabeth Harkin ◽  
S. Robert Rozbruch ◽  
Tomas Liskutin ◽  
William Hopkinson ◽  
Mitchell Bernstein
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Hip Dysplasia ◽  
Limb Length Discrepancy ◽  
Limb Length ◽  
Total Hip ◽  
Length Discrepancy ◽  
Femoral Nail

SURGICAL TREATMENT OF LIMB-LENGTH DISCREPANCY FOLLOWING TOTAL HIP ARTHROPLASTY

2003 ◽  
Vol 85 (12) ◽  
pp. 2310-2317 ◽  
Author(s):  
JAVAD PARVIZI ◽  
PETER F. SHARKEY ◽  
GINA A. BISSETT ◽  
RICHARD H. ROTHMAN ◽  
WILLIAM J. HOZACK
Keyword(s):  
Surgical Treatment ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Limb Length Discrepancy ◽  
Limb Length ◽  
Total Hip ◽  
Length Discrepancy

scholarly journals Assessment of the quality of life in patients with varying degrees of equalization of lower limb length discrepancy treated with Ilizarov method

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Łukasz Pawik ◽  
Malwina Pawik ◽  
Zdzisława Wrzosek ◽  
Felicja Fink-Lwow ◽  
Piotr Morasiewicz
Keyword(s):  
Quality Of Life ◽  
Lower Limb ◽  
Limb Length Discrepancy ◽  
Limb Length ◽  
Control Group ◽  
Ilizarov Method ◽  
Healthy Individuals ◽  
Self Assessment ◽  
Length Discrepancy

Abstract Background Inequalities in leg length result in functional disorders, as they impair the biomechanics of the musculoskeletal system, significantly reducing the quality of life (QoL). This study used the WHOQoL-BREF questionnaire in patients with varying degrees of lower leg shortness who had undergone treatment by the Ilizarov method, compared to a healthy control group. Methods Fifty-eight patients treated with the Ilizarov method for discrepancies in lower limb length were grouped by degree of limb equalization (group 1, 37 treated individuals with limb length discrepancy < 1 cm; group 2, 21 individuals with discrepancy ≥ 1 cm but not more than 4 cm). The control group 3 contained 61 healthy individuals. Patient quality of life (QoL) was assessed using a shortened version of the WHOQoL-BREF questionnaire, at least 24 months after the end of Ilizarov therapy. Results Control subjects obtained higher scores in all domains than subjects in both treatment groups, as well as significantly higher self-assessed QoL, and health, in the physical, psychological, social, and general lifestyle domains, as compared to those with inequalities ≥ 1 cm. Furthermore, patients with inequalities ≥ 1 cm had higher odds ratios of low self-assessment (3.28 times; p = 0.043), low self-assessment of health (4. 09 times; p = 0.047), and low physical and psychological domains (respectively 6.23 times; p = 0.005 and 8.46 times, p = 0.049) compared with patients with inequality < 1 cm. The shortened version of the WHOQoL questionnaire was used. Conclusions After at least 24 months of treatment with the Ilizarov method, patients with limb length discrepancy < 1 cm did not differ significantly from healthy individuals in the WHOQoL self-assessment of mental functioning, social, or life satisfaction.

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