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erin
1.7 cm LLD following a THR
Fri Feb 24, 2006 10:13am

I have an actual leg length discrepancy of 3/4 inch following a THR two years ago. I understand that there is an inherent risk of a LLD following a THR. I need to know what is an acceptable amount? How much is too much? Is there a definitive number that "draws the line" between an acceptable amount and an unacceptable amount? I would greatly appreciate an answer. Thank you.

  • Leg Length DiscrepancyDr Swanson, Wed Jun 30 5:45am
    Post-op leg length discrepancy usually occurs due to post-op swelling, and sometimes tensioning of the abductor muscles if the prosthesis has more offset than the patient's pre-op offset; or if the... more
    • Leg length Dis. Pain getting worseMargaret Smith, Thu Nov 2 9:37am
      It has now been 8 mnths since my RTH replacement I have a metal on metal hip done through the 2 incision mini hip aproach. I am 3/4" long on operative side. I am having increasing pain on standing... more
      • Leg Length DiscrepancyDr. Swanson, Mon Nov 6 5:20am
        Ms. Smith, From your radiographs, it appears that your right hip is approximately 1cm longer than the left. However, clinically, you feel like you have a much larger discrepancy. We call this a... more
    • 1.7 cm LLD following a THR — erin, Fri Feb 24 10:13am
      • Re: 1.7 cm LLD following a THRPauline, Fri Feb 24 4:28pm
        Dr. Swanson addressed this issue in this post http://disc.server.com/discussion.cgi?disc=216603;article=187;title=Mini%20Total%20Hip%20Replacement%20by%20Todd%20V.%20Swanson%20M.D . Best Wishes,... more
    • Dr. Swanson, Thank you for your reply. If the discrepancy is still significant after a three month period, what is the next step to having it repaired? Should my orthopedic surgeon agree to do a... more
      • Dr Swanson's ReplyPauline, Tue Jul 13 11:02pm
        Susan, Dr Swanson has been teaching in Europe, however, I sent a SOS that we need his expertise here in the good old US of A and he provided this information. Most patients can accommodate a leg... more
        • leg length discrepancyDr. Swanson, Fri Jul 16 5:14pm
          I'm back in town. Pauline did a good job paraphrasing my response to leg length discrepancies. However, there is 1 error: only approximately 10-20% of my patients with leg length discrepancies... more
      • Answer the question please doctorKarl, Mon Jul 12 9:49pm
        My father has also experienced the discrepancy in leg length (2 cm) after THR in Atlanta, GA. He has been met with resistance from the doctor that performed the surgery and others with the only... more
        • Dr Swanson's RepllyPauline, Tue Jul 13 11:11pm
          Karl, Please see Dr Swanson's reply regarding revision to correct leg length discrepancy above. He also mentioned that in your father's case, age would be a definite factor in weighing the benefits... more
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