When performing a total hip arthroplasty, it is essential to correct any pre-existing leg-length discrepancy during surgery

Leg-length discrepancy (LLD) in individuals experiencing total hip arthroplasty (THA) is related to a substantially higher fall risk, length of post-operative hospital in-patient stay, elevated implant-related adverse events, and earlier revision. Therefore, it is essential to try to avoid LLD when implanting a THA. Several studies focus on this issue, including the following: Accelerometer-based portable navigation system, preoperative digital templating, robot-assisted surgery, the anatomical marker positioning method (shoulder-to-shoulder) and the artificial intelligence-based three-dimensional planning software system. The aforementioned methods should be familiar to surgeons who perform THA procedures, as a fundamental objective of this surgical intervention is to avoid LLD.

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Publication Details

Journal
World Journal of Orthopedics
Published
2026-01-09
DOI
https://doi.org/10.5312/wjo.v17.i1.113277
Primary Topic
Orthopaedic implants and arthroplasty
Type
article
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article

When performing a total hip arthroplasty, it is essential to correct any pre-existing leg-length discrepancy during surgery

E Carlos Rodríguez-Merchán
World Journal of Orthopedics
Orthopaedic implants and arthroplasty
article

When performing a total hip arthroplasty, it is essential to correct any pre-existing leg-length discrepancy during surgery

E Carlos Rodríguez-Merchán
article en

Abstract

Leg-length discrepancy (LLD) in individuals experiencing total hip arthroplasty (THA) is related to a substantially higher fall risk, length of post-operative hospital in-patient stay, elevated implant-related adverse events, and earlier revision. Therefore, it is essential to try to avoid LLD when implanting a THA. Several studies focus on this issue, including the following: Accelerometer-based portable navigation system, preoperative digital templating, robot-assisted surgery, the anatomical marker positioning method (shoulder-to-shoulder) and the artificial intelligence-based three-dimensional planning software system. The aforementioned methods should be familiar to surgeons who perform THA procedures, as a fundamental objective of this surgical intervention is to avoid LLD.

World Journal of OrthopedicsVol. 17(1)
Hospital Universitario La Paz (ES)
Openalex Percentile: Top 93%
Orthopaedic implants and arthroplasty
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