Avoiding Hip Instability and Limb Length Discrepancy After Total Hip Arthroplasty

Peter K. Sculco, Umberto Cottino, Matthew Abdel, Rafael J. Sierra

Research output: Contribution to journalReview article

7 Citations (Scopus)

Abstract

Two complications after total hip arthroplasty (THA) are hip instability and limb length discrepancy; instability is a common indication for revision THA. The goal of a successful THA is to maximize impingement-free range of motion, recreate appropriate offset, and equalize limb length discrepancies to produce a pain-free and dynamically stable THA. In this article, the patient risk factors for dislocation and limb length discrepancy, key elements of the preoperative template, the anatomic landmarks for accurate component placement, the leg positions for soft tissue stability testing, and the management of postoperative instability are reviewed.

Original languageEnglish (US)
Pages (from-to)327-334
Number of pages8
JournalOrthopedic Clinics of North America
Volume47
Issue number2
DOIs
StatePublished - Apr 1 2016

Fingerprint

Arthroplasty
Hip
Extremities
Anatomic Landmarks
Articular Range of Motion
Leg

Keywords

  • Component position
  • Instability
  • Limb length discrepancy
  • Preoperative templating
  • Total hip arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Medicine(all)

Cite this

Avoiding Hip Instability and Limb Length Discrepancy After Total Hip Arthroplasty. / Sculco, Peter K.; Cottino, Umberto; Abdel, Matthew; Sierra, Rafael J.

In: Orthopedic Clinics of North America, Vol. 47, No. 2, 01.04.2016, p. 327-334.

Research output: Contribution to journalReview article

Sculco, Peter K. ; Cottino, Umberto ; Abdel, Matthew ; Sierra, Rafael J. / Avoiding Hip Instability and Limb Length Discrepancy After Total Hip Arthroplasty. In: Orthopedic Clinics of North America. 2016 ; Vol. 47, No. 2. pp. 327-334.
@article{995fbd0eabdd4655a860f0dac4f67f8a,
title = "Avoiding Hip Instability and Limb Length Discrepancy After Total Hip Arthroplasty",
abstract = "Two complications after total hip arthroplasty (THA) are hip instability and limb length discrepancy; instability is a common indication for revision THA. The goal of a successful THA is to maximize impingement-free range of motion, recreate appropriate offset, and equalize limb length discrepancies to produce a pain-free and dynamically stable THA. In this article, the patient risk factors for dislocation and limb length discrepancy, key elements of the preoperative template, the anatomic landmarks for accurate component placement, the leg positions for soft tissue stability testing, and the management of postoperative instability are reviewed.",
keywords = "Component position, Instability, Limb length discrepancy, Preoperative templating, Total hip arthroplasty",
author = "Sculco, {Peter K.} and Umberto Cottino and Matthew Abdel and Sierra, {Rafael J.}",
year = "2016",
month = "4",
day = "1",
doi = "10.1016/j.ocl.2015.09.006",
language = "English (US)",
volume = "47",
pages = "327--334",
journal = "Orthopedic Clinics of North America",
issn = "0030-5898",
publisher = "W.B. Saunders Ltd",
number = "2",

}

TY - JOUR

T1 - Avoiding Hip Instability and Limb Length Discrepancy After Total Hip Arthroplasty

AU - Sculco, Peter K.

AU - Cottino, Umberto

AU - Abdel, Matthew

AU - Sierra, Rafael J.

PY - 2016/4/1

Y1 - 2016/4/1

N2 - Two complications after total hip arthroplasty (THA) are hip instability and limb length discrepancy; instability is a common indication for revision THA. The goal of a successful THA is to maximize impingement-free range of motion, recreate appropriate offset, and equalize limb length discrepancies to produce a pain-free and dynamically stable THA. In this article, the patient risk factors for dislocation and limb length discrepancy, key elements of the preoperative template, the anatomic landmarks for accurate component placement, the leg positions for soft tissue stability testing, and the management of postoperative instability are reviewed.

AB - Two complications after total hip arthroplasty (THA) are hip instability and limb length discrepancy; instability is a common indication for revision THA. The goal of a successful THA is to maximize impingement-free range of motion, recreate appropriate offset, and equalize limb length discrepancies to produce a pain-free and dynamically stable THA. In this article, the patient risk factors for dislocation and limb length discrepancy, key elements of the preoperative template, the anatomic landmarks for accurate component placement, the leg positions for soft tissue stability testing, and the management of postoperative instability are reviewed.

KW - Component position

KW - Instability

KW - Limb length discrepancy

KW - Preoperative templating

KW - Total hip arthroplasty

UR - http://www.scopus.com/inward/record.url?scp=84953775726&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84953775726&partnerID=8YFLogxK

U2 - 10.1016/j.ocl.2015.09.006

DO - 10.1016/j.ocl.2015.09.006

M3 - Review article

C2 - 26772941

AN - SCOPUS:84953775726

VL - 47

SP - 327

EP - 334

JO - Orthopedic Clinics of North America

JF - Orthopedic Clinics of North America

SN - 0030-5898

IS - 2

ER -