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J Am Acad Orthop Surg, Vol 14, No 1, January 2006, 38-45.
© 2006 the American Academy of Orthopaedic Surgeons
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Leg-Length Discrepancy After Total Hip Arthroplasty

Charles R. Clark, MD, Herbert D. Huddleston, MD, Eugene P. Schoch, III, MD and Bert J. Thomas, MD

Dr. Clark is the Dr. Michael Bonfiglio Professor, Department of Orthopaedic Surgery, University of Iowa Hospitals, Iowa City, IA. Dr. Huddleston is in private practice at Huddleston Hip and Knee Institute, Tarzana, CA. Dr. Schoch is in private practice, Austin, TX. Dr. Thomas is Professor of Orthopaedic Surgery, David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, CA.

Neither Dr. Huddleston nor the department with which he is affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article. Drs. Clark and Thomas or the departments with which they are affiliated have received research or institutional support from DePuy. Dr. Thomas or the department with which he is affiliated has received nonincome support (such as equipment or services), commercially derived honoraria, or other non-research–related funding (such as paid travel) from DePuy. Drs. Clark and Schoch or the departments with which they are affiliated serve as consultants to or are employees of DePuy.

Reprint requests: Dr. Clark, University of Iowa Hospitals, 200 Hawkins Drive, 01075 JPP, Iowa City, IA 52242.

Leg-length discrepancy after total hip arthroplasty can pose a substantial problem for the orthopaedic surgeon. Such discrepancy has been associated with complications including nerve palsy, low back pain, and abnormal gait. Careful preoperative measurement and assessment, as well as preoperative and postoperative patient education, are important factors in achieving an acceptable result. However, after total hip arthroplasty, equal leg length should not be guaranteed. Rather, the patient should be given a realistic assessment of what can reasonably be expected.




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Correspondence
J. Am. Acad. Ortho. Surg., May 1, 2006; 14(5): 319 - 319.
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