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Functional Leg Length Discrepancy

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1. Evaluation of functional and structural leg length discrepancy in patients with adolescent idiopathic scoliosis using the EOS imaging system: a prospective comparative study (PubMed)

Evaluation of functional and structural leg length discrepancy in patients with adolescent idiopathic scoliosis using the EOS imaging system: a prospective comparative study To our knowledge, no studies have reported the exact structural leg length discrepancies (LLDs) in patients with adolescent idiopathic scoliosis (AIS). Therefore, this study aimed to evaluate the differences between functional and structural LLDs and to examine the correlations between LLDs and spinopelvic parameters (...) in patients with AIS using an EOS imaging system, which permits the three-dimensional reconstruction of spinal and lower-limb bony structures.Eighty-two consecutive patients with AIS underwent whole-body EOS radiography in a standing position between August 2014 and March 2016. Functional LLD, lumbar Cobb angle, thoracic curve Cobb angle, coronal balance, and pelvic obliquity were measured using two-dimensional EOS radiography. Structural LLDs were measured using three-dimensional EOS-reconstructed images

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2018 Scoliosis and spinal disorders

2. Shoe Lifts for Leg Length Discrepancy in Adults With Common Painful Musculoskeletal Conditions: A Systematic Review of the Literature

Shoe Lifts for Leg Length Discrepancy in Adults With Common Painful Musculoskeletal Conditions: A Systematic Review of the Literature To determine whether shoe lifts effectively treat leg length discrepancy (LLD)-associated morbidities in adults with common painful musculoskeletal conditions.Trip database, Cochrane Central Register of Controlled Trials database, PubMed database, Physiotherapy Evidence Database, and National Guideline Clearinghouse database. The search was performed in September (...) 2017, was limited to English only, and had no time constraints.Two reviewers independently determined study eligibility. Inclusion criteria were (1) participants ≥18 years old with musculoskeletal-related complaints and LLD; (2) a shoe lift intervention was used; and (3) the study reported on pain, function, range of motion, patient satisfaction, quality of life, or adverse events. Randomized controlled trials (RCTs) and controlled intervention, cohort, before-and-after, case series, and case

2018 EvidenceUpdates

3. Functional leg length discrepancy between theories and reliable instrumental assessment: a study about newly invented NPoS system (PubMed)

Functional leg length discrepancy between theories and reliable instrumental assessment: a study about newly invented NPoS system In spite the instinct social&financial impact of Leg Length Discrepancy (LLD), controversial and conflicting results still exist regarding a reliable assessment/correction method. For proper management it's essential to discriminate between anatomical&functional Leg Length Discrepancy (FLLD). With the newly invented NPoS (New Postural Solution), under the umbrella

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2017 Muscles, ligaments and tendons journal

4. Shoe Lifts for Leg Length Discrepancy in Adults With Common Painful Musculoskeletal Conditions: A Systematic Review of the Literature.

Shoe Lifts for Leg Length Discrepancy in Adults With Common Painful Musculoskeletal Conditions: A Systematic Review of the Literature. To determine whether shoe lifts effectively treat leg length discrepancy (LLD)-associated morbidities in adults with common painful musculoskeletal conditions.Trip database, Cochrane Central Register of Controlled Trials database, PubMed database, Physiotherapy Evidence Database, and National Guideline Clearinghouse database. The search was performed (...) in September 2017, was limited to English only, and had no time constraints.Two reviewers independently determined study eligibility. Inclusion criteria were (1) participants ≥18 years old with musculoskeletal-related complaints and LLD; (2) a shoe lift intervention was used; and (3) the study reported on pain, function, range of motion, patient satisfaction, quality of life, or adverse events. Randomized controlled trials (RCTs) and controlled intervention, cohort, before-and-after, case series, and case

2018 Archives of physical medicine and rehabilitation

5. Leg Length Discrepancy: Dynamic Balance Response during Gait (PubMed)

were often measured for the evaluation of balance. Currently, there is still no experimental evidence or study on leg length discrepancy (LLD) during walking. Analysis of the stability parameters is more representative of the functional activity undergone by the person who has a LLD. Therefore, this study hopes to shed new light on the effects of LLD on the dynamic stability associated with VGRF, COP, and COM during walking. Eighteen healthy subjects were selected among the university population (...) Leg Length Discrepancy: Dynamic Balance Response during Gait Balance in the human body's movement is generally associated with different synergistic pathologies. The trunk is supported by one's leg most of the time when walking. A person with poor balance may face limitation when performing their physical activities on a daily basis, and they may be more prone to having risk of fall. The ground reaction forces (GRFs), centre of pressure (COP), and centre of mass (COM) in quite standing posture

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2018 Journal of healthcare engineering

6. Prediction of Leg Length Discrepancy After Unilateral Total Knee Replacement in Varus Deformity

treatment. LLD over 2cm is usually noticed by the individual affected leading to self compensation by walking on the ball of the foot (toe down) or by tilting the pelvis and curving the spine.Untreated LLD can lead to lower back pain and long leg arthritis of the hip LLD and its effects on patient function have been discussed in depth in the literature with respect to hip arthroplasty but there are few studies that have examined the effect on function of limb length discrepancy following TKA. Improved (...) Prediction of Leg Length Discrepancy After Unilateral Total Knee Replacement in Varus Deformity Prediction of Leg Length Discrepancy After Unilateral Total Knee Replacement in Varus Deformity - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one

2018 Clinical Trials

7. A new technique for correction of leg length discrepancies in combination with complex axis deformities of the lower limb using a lengthening nail and a locking plate (PubMed)

devices - a lengthening nail and a locking plate.Between October 2008 and November 2011 five patients (two femora, three tibias) with a mean leg length discrepancy of 36 mm (25 to 50) and a complex angular deformity were treated with a fully implantable motorized lengthening nail (Fitbone) and a locking plate. All patients were evaluated with regards to the pre- and postoperative leg length as well as axis alignment, functional outcome, lengthening indices and complications.A successful leg length (...) A new technique for correction of leg length discrepancies in combination with complex axis deformities of the lower limb using a lengthening nail and a locking plate Intramedullary lengthening nails are an accepted alternative to external fixators but are limited by anatomical preconditions. Therefore, to date the use of external fixators is sometimes inevitable. We report on a new technique for correction of combined limb length discrepancies and complex axis deformities using solely internal

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2018 Journal of children's orthopaedics

8. Functional Leg Length Discrepancy

Functional Leg Length Discrepancy Functional Leg Length Discrepancy Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Functional Leg (...) Length Discrepancy Functional Leg Length Discrepancy Aka: Functional Leg Length Discrepancy , Functional Limb Length Discrepancy , Apparent Leg Length Discrepancy From Related Chapters II. Causes: Biomechanical Pelvic tilt or rotation abnormality Sacroiliac joint abnormality III. Signs See to test for true inequality Supine to sitting leg length measurement Patient lies supine with legs in neutral position Compare leg lengths for equality Patient bends at torso to sit with legs extended Positive test

2018 FP Notebook

9. Effect of Preoperative Leg Length Discrepancy on Functional Outcome and Patient Satisfaction After Total Hip Arthroplasty in Cases of Osteonecrosis of the Femoral Head. (PubMed)

Effect of Preoperative Leg Length Discrepancy on Functional Outcome and Patient Satisfaction After Total Hip Arthroplasty in Cases of Osteonecrosis of the Femoral Head. Severe preoperative leg length discrepancy (LLD) can lead to poor preoperative functional status in patients with extensive osteonecrosis of the femoral head (ONFH). This study aimed to assess the effect of preoperative LLD on functional outcomes and patient satisfaction post-total hip arthroplasty (THA) in ONFH patients.Twenty (...) -two patients with severe LLD (≥15 mm) and 44 patients with mild LLD (<15 mm) on preoperative radiographs were enrolled as the study group and control group, respectively. All 66 patients were diagnosed with unilateral ONFH. Patients' functional outcomes (Harris Hip Score [HHS], Oxford Hip Score [OHS], patient-perceived LLD, Visual Analogue Scale [VAS] pain score, and Limping Assessment]) and satisfaction (self-administered patient satisfaction scale) were evaluated at 3 and 12 months after THA.At

2016 Journal of Arthroplasty

10. The Effectiveness of Specific Exercise Approach or Modifiable Heel Lift in the Treatment of Functional Leg Length Discrepancy in Early Post-surgery Inpatients after Total Hip Arthroplasty: A Randomized Controlled Trial with a PROBE design. (PubMed)

The Effectiveness of Specific Exercise Approach or Modifiable Heel Lift in the Treatment of Functional Leg Length Discrepancy in Early Post-surgery Inpatients after Total Hip Arthroplasty: A Randomized Controlled Trial with a PROBE design. This study investigated the effectiveness of a specific exercise approach (SEA) or modifiable heel lift (MHL) to improve functional leg length discrepancy (LLD) after total hip arthroplasty (THA).The study was a randomized controlled trial with a PROBE (...) (prospective, randomized, open, blinded-endpoint) design trial. Patients (n=33) with both functional and perceived LLDs, 1 week after THA, were randomized to the SEA, MHL, or control groups. Patients in the SEA group performed 2 weeks of exercises to improve hip contracture and lumbar scoliosis. Patients in the MHL group used an insole-type heel lift to correct functional LLD. The control group received normal postoperative care, comprising standard rehabilitation after THA. The primary outcomes were

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2017 Physical therapy research

11. Reducing Recurrent Knee Flexion Contracture by Correcting Leg Length Discrepancy After Total Knee Arthroplasty for OA

Reducing Recurrent Knee Flexion Contracture by Correcting Leg Length Discrepancy After Total Knee Arthroplasty for OA Reducing Recurrent Knee Flexion Contracture by Correcting Leg Length Discrepancy After Total Knee Arthroplasty for OA - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. Reducing Recurrent Knee Flexion Contracture by Correcting Leg Length Discrepancy After Total Knee Arthroplasty for OA The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details

2016 Clinical Trials

12. The Development and Clinical Verification of Intelligent Rehabilitation System for Leg Length Discrepancy Patients

The Development and Clinical Verification of Intelligent Rehabilitation System for Leg Length Discrepancy Patients The Development and Clinical Verification of Intelligent Rehabilitation System for Leg Length Discrepancy Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. The Development and Clinical Verification of Intelligent Rehabilitation System for Leg Length Discrepancy Patients The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02793973 Recruitment Status : Unknown Verified January 2016

2016 Clinical Trials

13. Does Patients' Perception of Leg Length After Total Hip Arthroplasty Correlate With Anatomical Leg Length? (PubMed)

Does Patients' Perception of Leg Length After Total Hip Arthroplasty Correlate With Anatomical Leg Length? This study assessed the correlation among the patients' perception of the leg length discrepancy (LLD) after total hip arthroplasty (THA) and the anatomical and functional leg length, pelvic and knee alignments, and foot height.Patients without significant spinal pathology or previous spine or lower extremity surgery who underwent primary THA (101 patients) were evaluated using EOS images (...) obtained in standing position. All 3-dimensional measures were evaluated and compared for the repeatability and reproducibility and correlation with patients' perception of leg length.In our study, the anatomical femoral length (odds ratio [OR] 0.9, P = .732) did not correlate with patients' perception of the LLD, but other variables like the distance from the middle of the tibial plafond to ground (OR 14.3, P = .003), sagittal knee alignment (OR 1.07, P = .021), and pelvic obliquity (OR 1.05, P = .021

2017 Journal of Arthroplasty

14. Does restoration of leg length and femoral offset play a role in functional outcome one year after hip hemiarthroplasty? (PubMed)

Does restoration of leg length and femoral offset play a role in functional outcome one year after hip hemiarthroplasty? The objective of this study was to evaluate the correlation between specific joint biomechanical parameters and 1year functional outcome scores in elderly patients receiving hemiarthroplasty in the setting of intracapsular hip fractures.This is a retrospective, institutional registry based study. 168 hip hemarthroplasties were captured from October 2013 to June 2015. Patients (...) were excluded based on contralateral hip surgery, perioperative complications or inadequate radiographs. 84 patients were alive at one year follow up. We compared mobility and pain scores to radiographically determined variations of leg lengths and femoral offset. We also compared the performance of fellowship trained arthroplasty surgeons to their non-fellowship trained counterparts.The operated leg was a mean of 1.12±6.8mm longer than the contralateral. leg length discrepancy (LLD) was less than

2017 Injury

15. Predictors and Functional Implications of Change in Leg Length After Total Knee Arthroplasty. (PubMed)

Predictors and Functional Implications of Change in Leg Length After Total Knee Arthroplasty. Leg lengthening occurs in 83% of primary total knee arthroplasty (TKA). The effects of leg length discrepancy (LLD) on THA patients are well established. However, patient function and satisfaction associated with LLD after primary TKA has not been analyzed. This study aimed to quantify the magnitude of limb lengthening, identify radiographic and perceived LLD, and correlate these with predictive (...) factors and functional outcomes in a series of TKA patients.Patients undergoing primary TKA who met inclusion criteria were prospectively enrolled in this study. Leg length measurements were measured on standardized preoperative and postoperative long leg radiographs. Patients completed preoperative and 6-month postoperative Knee Society Score and functional Knee Injury and Osteoarthritis Outcome Score, as well as a postoperative satisfaction and customized leg length-specific functional

2017 Journal of Arthroplasty

16. Changes in foot pressure elicited by 3D air balance exercise and pelvic stability exercise for functional leg-length discrepancy in adult women (PubMed)

Changes in foot pressure elicited by 3D air balance exercise and pelvic stability exercise for functional leg-length discrepancy in adult women [Purpose] This study was conducted to examine the effect of pelvic stabilization exercise and 3D equipment exercise on adult women with Functional Leg-Length Discrepancy (FLLD). [Subjects and Methods] Twenty female students in their 20's having FLLD without Structural Leg Length Discrepancy were selected. Exercise was performed for 50 min per session

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2015 Journal of physical therapy science

17. The Influence of Leg Length Discrepancy after Total Hip Arthroplasty on Function and Quality of Life: A Prospective Cohort Study. (PubMed)

The Influence of Leg Length Discrepancy after Total Hip Arthroplasty on Function and Quality of Life: A Prospective Cohort Study. We investigated whether patients with lengthening (> 9 mm), restoration (between 9 mm lengthening and 5 mm shortening) or shortening (> 5 mm) of the operated leg after total hip arthroplasty (THA) had different function (WOMAC score), quality of life (EQ-5D), residual hip pain, use of shoe lift and walking aid and leg length discrepancy (LLD) awareness, 12-15 months (...) postoperatively. All patients had a significant postoperative improvement in WOMAC and EQ-5D regardless the LLD. However, the lengthening group showed less improvement in WOMAC, more use of shoe lift, residual hip pain and LLD awareness compared with the other two groups. No differences in EQ-5D were found. In spite of the improvement in function and quality of life, lengthening had adverse effects and should therefore be avoided. Copyright © 2015 Elsevier Inc. All rights reserved.

2015 Journal of Arthroplasty

18. The Influence of Leg Length Discrepancy After Total Hip Arthroplasty on Function and Quality of Life

The Influence of Leg Length Discrepancy After Total Hip Arthroplasty on Function and Quality of Life The Influence of Leg Length Discrepancy After Total Hip Arthroplasty on Function and Quality of Life - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please (...) remove one or more studies before adding more. The Influence of Leg Length Discrepancy After Total Hip Arthroplasty on Function and Quality of Life (BioHipLLD) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02275494 Recruitment Status : Completed First Posted : October 27, 2014 Last Update Posted

2014 Clinical Trials

19. Leg Length and Quality of Life After Total Hip Arthroplasty

Verified: February 2018 Layout table for additional information Studies a U.S. FDA-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Keywords provided by Assistance Publique - Hôpitaux de Paris: EOS total hip arthroplasty performance of surgeons leg length discrepancy HOOS (...) Leg Length and Quality of Life After Total Hip Arthroplasty Leg Length and Quality of Life After Total Hip Arthroplasty - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Leg Length and Quality of Life After

2018 Clinical Trials

20. The effect of leg length discrepancy on clinical outcome after TKA and identification of possible risk factors. (PubMed)

The effect of leg length discrepancy on clinical outcome after TKA and identification of possible risk factors. This study was investigated on the leg length discrepancy (LLD) after computer-assisted total knee arthroplasty (TKA), and its effects on the post-operative function and patient satisfaction. It is hypothesized that LLD after computer-assisted TKA would affect the clinical outcomes for knee scores.A total of 148 cases were analysed retrospectively with a minimum of 2 years of follow (...) -up. Eighty-one knees involved a <15-mm LLD, and 67 knees involved more than a 15-mm LLD. The radiographic outcomes, clinical outcomes, patients' satisfaction, and perception of LLD were also evaluated.There was a significant difference in the Knee Society function score and the score for the difficulty with ascending the stairs in the Western Ontario and McMaster Universities score between the groups. There was a statistically significant difference between the two groups in the results

2015 Knee Surgery, Sports Traumatology, Arthroscopy

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