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Leg length Dis. Pain getting worse
Thu Nov 2, 2006 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 after being on feet allot then sitting and standing again. it hapens on both sides but mainly on the op side. I wear a 3/4" lift most of the time. I have done the recomended streching to loosen the lateral band. But without relief. i also feel a clanking in my hip when i walk or move my hip back and forth. Could there be a problem with the way the prostheses is positioned?
What are my options? I sent Dr. Swanson exrays to look at. Has he been able to view them yet? Growing anxious as to what to do. Also by back is starting to curve alot since surgery.

  • 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 worse — Margaret Smith, Thu Nov 2 9:37am
      • 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 THRerin, Fri Feb 24 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?... more
      • 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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