Title Legs length discrepancy after hip replacement for femoral neck fracture /
Translation of Title Legs Length Discrepancy After Hip Replacement for Femoral Neck Fracture.
Authors Henle, Cornelius Carl Constantin
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Pages 46
Keywords [eng] Femoral neck fracture, Total Hip Arthroplasty, Hemiarthroplasty, Leg Length Discrepancy, Surgical Approaches, Cemented and Uncemented, Intraoperative Measurement, Robotic-Assisted THA
Abstract [eng] Leg length discrepancy (LLD) is a common and often challenging complication after total hip arthroplasty (THA) or hemiarthroplasty (HA) for femoral neck fractures (FNF), leading to issues such as gait problems, back pain, and sometimes the need for further surgery. This thesis presents a narrative literature review exploring the anatomical, surgical, and technological factors contributing to LLD. Key determinants include preoperative skeletal asymmetry, surgical approach, implant selection, and intraoperative technique. Comparative analysis highlights that cemented implants generally offer better short-term stability and fewer complications than uncemented ones, though neither guarantees LLD prevention. Advances such as computer-assisted surgery and intraoperative fluoroscopy have improved leg length accuracy. The study emphasizes that individualized preoperative planning and precise intraoperative execution are essential to minimizing LLD and optimizing functional outcomes in FNF patients undergoing hip replacement.
Dissertation Institution Vilniaus universitetas.
Type Master thesis
Language English
Publication date 2025