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Functional Leg Length Discrepancy

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1. 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 Full Text available with Trip Pro

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 (...) lengthening nail and a locking plate is a valuable alternative option for treating selected cases with limb length discrepancies in combination with a complex deformity of the lower leg. However, the reported technique puts high demands on the preoperative planning, operative technique as well as surgeon's skills.IV (retrospective series).

2018 Journal of children's orthopaedics

2. Evaluation of functional and structural leg length discrepancy in patients with adolescent idiopathic scoliosis using the EOS imaging system: a prospective comparative study Full Text available with Trip Pro

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

2018 Scoliosis and spinal disorders

3. Correction of leg-length discrepancy among meat cutters with low back pain: a randomized controlled trial. Full Text available with Trip Pro

Correction of leg-length discrepancy among meat cutters with low back pain: a randomized controlled trial. The etiology of non-specific low back pain (LBP) is complex and not well understood. LBP is common and causes a remarkable health burden worldwide. Leg-length discrepancy (LLD) is potentially a risk factor for development of LBP, although this relationship has been questioned. Yet only one randomized controlled study (RCT) has been performed. The objective of our study was to evaluate (...) the effect of insoles with leg-length discrepancy (LLD) correction compared to insoles without LLD correction among meat cutters in a RCT-design.The study population consisted 387 meat cutters who were over 35 years old and had been working 10 years or more. The LLD measurement was done by a laser ultrasound technique. All workers with an LLD of at least 5 mm and an LBP intensity of at least 2 on a 10-cm Visual Analog Scale were eligible. The LLD of all the participants in the intervention group

2019 BMC Musculoskeletal Disorders Controlled trial quality: predicted high

4. Functional leg length discrepancy between theories and reliable instrumental assessment: a study about newly invented NPoS system Full Text available with Trip Pro

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

2017 Muscles, ligaments and tendons journal

5. 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. Full Text available with Trip Pro

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

2017 Physical therapy research Controlled trial quality: uncertain

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 (...) Sponsor: Assiut University Information provided by (Responsible Party): Abanoub Nagaty Wahba, Assiut University Study Details Study Description Go to Brief Summary: To What degree total knee replacement (TKA) affects leg length discrepancy in patients with varus deformity? Varus deformity, the most commonly encountered deformity in patients undergoing TKA is associated with limb alignment and varying degrees of contractures of medial soft tissue structures, laxity of the lateral soft tissue structures

2018 Clinical Trials

7. Leg Length Discrepancy: Dynamic Balance Response during Gait Full Text available with Trip Pro

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

2018 Journal of healthcare engineering

8. Functional Leg Length Discrepancy

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 (...) 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

2018 FP Notebook

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

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

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

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

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

10mm in 72 patients. Mean difference in offset between limbs was 0.25±3.3mm. The difference was within 5mm in 79 patients (94%). We found no statistically significant correlation between mobility or pain scores and variations in leg length or offset. We found significantly better performance of the arthroplasty surgeons in restoring leg length but no difference in offset reconstruction or functional benefit for the patient.Our study was unable to demonstrate a significant relationship between leg (...) 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

2017 Injury

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

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

13. Changes in foot pressure elicited by 3D air balance exercise and pelvic stability exercise for functional leg-length discrepancy in adult women Full Text available with Trip Pro

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

2015 Journal of physical therapy science

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

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

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

provided by (Responsible Party): Assistance Publique - Hôpitaux de Paris Study Details Study Description Go to Brief Summary: This study used 3D reconstructions from the EOS biplanar radiographic imaging system to perform leg length measurements before and after THA (Total hip arthroplasty) on all included THA patients from 2015 to evaluate surgeon performance in restoring lower limb length after THA and the relationships between the quality of life, estimated by the HOOS score (Hip disability (...) and after THA on all included THA patients from 2015 to evaluate surgeon performance in restoring lower limb length after THA. Included patients either had hip osteoarthritis or femoral head osteonecrosis. Patients were excluded if they were undergoing revision surgery, or had a contralateral THA or total knee. The performance of the surgeons was judged using the Cumulative Sum control chart (CUSUM) method. Our objective was to study surgeon performance, measured by their ability to restore the initial

2018 Clinical Trials

16. 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

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

lifts has smart phone and willing to record information that investigators need willing to sign agreement Exclusion Criteria: neurological diseases (i.e. Parkinson's disease, CVA, Polio, and lower limb nerve injuries, etc.) diabetes along with peripheral neuropathy history of lower limb fracture injury or joint replacement leading to uneven leg length osteoporosis along with compression fracture foot, ankle, or knee joint deformity, osteoarthritis or soft tissue pain that disturb gait performance (...) 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

2016 Clinical Trials

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

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 (...) of their perception questionnaires, but no difference in the results of their satisfaction questionnaires. The odds ratio for the risk of post-operative LLD increased with the increased pre-operative LLD and the unilateral TKA.In conclusion, the functional outcomes of more than 15-mm post-operative LLD after computer-assisted TKA were lower than those of the <15-mm LLD. Thus, the reduced post-operative LLD should be considered to improve the functional outcomes of primary TKA. A careful treatment plan

2015 Knee Surgery, Sports Traumatology, Arthroscopy

19. 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

20. Developmental rheumatology in children. Scenario: Bow legs in children

disorders (for example Duchenne muscular dystrophy). Movement disorders. Developmental disorders (for example autism spectrum disorder, intellectual disability, language and communication disorders). Short calf tendon/muscle. Limb length discrepancy. Club foot. Ankylosing spondylitis. There is currently no evidence to suggest poor functional outcomes for idiopathic toe walkers in adolescence and adulthood [ ], although experts suggest that persistent toe walking can result in limited ankle dorsiflexion (...) or young person with: Atypical symptoms. Worsening symptoms. Unremitting pain; night pain; thoracic pain. Non-mechanical pain. Abnormal loss or deterioration of function. Significant loss of movement. Gait disturbance. Significant lower limb asymmetry. TB, cancer, HIV/AIDS, steroid use, multiple fractures. Skin changes, for example, cafe au lait, psoriasis, bruising. Paediatric Musculoskeletal Matters ( ) is a resource for clinicians working with children and young people. It aims to facilitate early

2019 NICE Clinical Knowledge Summaries

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