title: The impact of leg length discrepancy on patient satisfaction and functional outcome following total hip arthroplasty.
abstract: A series of 191 patients undergoing THA with a standardised stem were studied. The effect of leg length discrepancy (LLD) on patient function (Oxford Hip Score), health measures (Short Form 12) and satisfaction (Self-Administered Patient Satisfaction Scale) at a mean 3.8 years of follow up (range 3.3 to 4.9) is reported. 8.9% of cases had shortening, 0.5% no LLD and 90.6% had lengthening. In 21.5% the LLD was more than 10mm, in 37.1% 5-10mm, and in 40.9% 0-5mm. There was no significant difference in patient reported outcome measures (PROMs) according to LLD. Correlation of recorded measurements between multiple observers was excellent (0.93). LLD following total hip arthroplasty remains common but in this series, was not correlated with PROMs.
authors.affiliation: Musculoskeletal Research Unit, Department of Academic Orthopaedics, University of Bristol, Lower Level AOC, Southmead Hospital, Westbury-on-Trym, UK.
authors.forename: Michael R
authors.initials: MR
authors.lastname: Whitehouse
authors.forename: Natalija S
authors.initials: NS
authors.lastname: Stefanovich-Lawbuary
authors.forename: Luke R
authors.initials: LR
authors.lastname: Brunton
authors.forename: Ashley W
authors.initials: AW
authors.lastname: Blom
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D002516:Ceramics; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000502:physiology* / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D007870:Leg Length Inequality; D008297:Male; D008670:Metals; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery*; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D011859:Radiography; D057566:Self Report; D016896:Treatment Outcome
chemical_list: D008670:Metals
keywords: leg length inequality; total hip arthroplasty; treatment outcome