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Prevalence and functional impact of patient-perceived leg length discrepancy after hip replacement

Wylde, Vikki , Whitehouse, Sarah L., Taylor, Adrian H. , Pattison, Giles T. , Bannister, Gordon C. , & Blom, Ashley W. (2008) Prevalence and functional impact of patient-perceived leg length discrepancy after hip replacement. International Orthopaedics, 24(2), pp. 210-216.

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Abstract

The aim of this survey was to determine the prevalence of patient-perceived leg length discrepancy (LLD) after primary total hip replacement (THR) and its impact on functional outcome. All consecutive patients who had a primary, unilateral THR at one orthopaedic centre between April 1993–1996 were sent a questionnaire which included the Oxford hip score (OHS) and questions about LLD. A total of 1,114 patients returned completed questionnaires. Three hundred and twenty nine patients (30%) reported a LLD. Of these patients, 161 patients (49%) were bothered by the difference, 101 patients (31%) used a shoe raise and 13 patients (4%) thought that the surgery had not been worthwhile. Patients with a LLD had a significantly poorer OHS (p<0.001) and limped more frequently. This study found that a third of patients perceived a LLD at 5-8 years after THR and LLD had a significant negative impact on functional outcome.

Impact and interest:

17 citations in Scopus
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12 citations in Web of Science®

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ID Code: 18941
Item Type: Journal Article
Keywords: total hip replacement, outcome, leg legth discrepancy, Oxford Hip scores
DOI: 10.1007/s00264-008-0563-6
ISSN: 1432-5195
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Orthopaedics (110314)
Divisions: Past > QUT Faculties & Divisions > Faculty of Built Environment and Engineering
Current > Institutes > Institute of Health and Biomedical Innovation
Past > Schools > School of Engineering Systems
Copyright Owner: Copyright 2008 Springer Verlag
Copyright Statement: The original publication is available at SpringerLink http://www.springerlink.com
Deposited On: 24 Mar 2009 12:13
Last Modified: 29 Feb 2012 23:51

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