Postoperative limb lengthening following Total Hip Arthroplasty (THA) through a posterior approach--a challenge for the orthopaedist or physiotherapist?
Postoperative limb lengthening following Total Hip Arthroplasty (THA) through a posterior approach--a challenge for the orthopaedist or physiotherapist?
复制标题
通过后路入路进行全髋关节置换术 (THA) 术后肢体延长——对骨科医生或物理治疗师来说是一个挑战吗？
DOI：
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发表时间：
2010
影响因子：
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通讯作者：
M. Drelich
中科院分区：
文献类型：
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作者：
Magdalena Sobiech;M. Jabłoński;M. Gorzelak;K. Turżańska;Agnieszka Posturzyńska;M. Drelich
背景
随着髋关节病的进展，疼痛和活动受限加剧，通常表现为进行性屈曲-外展挛缩。这与骨关节端的退化相结合，是造成肢体解剖和功能性缩短的原因。术后下肢长度差异的感觉对于患者和术者来说都是一个重要的问题。感觉手术肢体较长可能是由于全髋关节置换术后股骨段过长。也可能是术后外展或屈曲外展挛缩所致。本研究的目的是回顾全髋关节置换手术的临床过程。重点是截肢后持续两周以上的下肢不等长投诉。
材料和方法
我们调查了210例单侧THA手术。所有病例均采用后外侧入路Swanson技术。12名患者，包括8名女性和4名男性（共210名患者- 169名女性和41名男性），报告了截肢术后超过两周的手术肢体延长感觉。我们回顾了这组患者的康复过程。
结果
本文提出的康复程序消除了肢体长度差异的感觉，在所有患者谁报告了这个问题。
结论
1.据报道，全髋关节置换术后腿部延长的投诉约为100例。5%的患者。2.包括肌肉能量技术（MET）的持续物理治疗有助于消除肢体长度不等的感觉。
BACKGROUND
As coxarthrosis progresses, pain and mobility limitation exacerbate, usually presenting as a progressive flexion-abduction contracture. This, combined with the degradation of articular ends of bones, is responsible for anatomical and functional shortening of the limb. The sensation of postoperative leg length difference is a significant problem both for the patient and the operator. A sense of the operated limb being longer may be due to excessive length of the femoral segment following total hip arthroplasty. It may also result from a postoperative abduction or flexion-abduction contracture. The aim of the study was to review the clinical course of total hip replacement surgeries. The focus was on complaints of leg length discrepancy persisting for more than two weeks after ambulation.
MATERIAL AND METHODS
We investigated a series of 210 unilateral THA procedures. Swanson's technique through a posterolateral approach was used in all cases. Twelve patients, including 8 women and 4 men (out of the total of 210 patients - 169 women and 41 men), reported a sensation of operated limb lengthening for more than two weeks after ambulation. We reviewed the process of rehabilitation in this group of patients.
RESULTS
The rehabilitation procedure presented in this paper eliminated the sensation of limb length discrepancy in all patients who had reported this problem.
CONCLUSIONS
1. Complaints of leg lengthening following total hip arthroplasty were reported by approx. 5% of the THA patients. 2. Consistent physiotherapy involving muscle energy techniques (MET) helped to eliminate the sensation of limb length inequality.