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The effect of preoperative lateral fl exibility of the lumbar spine on perceived leg length discrepancy after total hip arthroplasty
https://tmdu.repo.nii.ac.jp/records/120
https://tmdu.repo.nii.ac.jp/records/12070630e08-e05f-463a-8792-149399d07856
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
08_koga (161.2 kB)
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Copyright © 2009 Tokyo Medical and Dental University (TMDU)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2017-08-08 | |||||
| タイトル | ||||||
| タイトル | The effect of preoperative lateral fl exibility of the lumbar spine on perceived leg length discrepancy after total hip arthroplasty | |||||
| タイトル | ||||||
| タイトル | The effect of preoperative lateral fl exibility of the lumbar spine on perceived leg length discrepancy after total hip arthroplasty | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Total hip arthroplasty | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Perceived leg length discrepancy | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Lateral flexibility of lumbar spine | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Total hip arthroplasty | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Perceived leg length discrepancy | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Lateral flexibility of lumbar spine | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | departmental bulletin paper | |||||
| 著者 |
古賀, 大介
× 古賀, 大介× 神野, 哲也× 大川, 淳× 森田, 定雄× 四宮, 謙一 |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Background: Leg length discrepancy (LLD) after total hip arthroplasty (THA) is a significant factor of patient dissatisfaction. Patients with dissociation between preoperative radiographic LLD and perceived LLD sometimes feel LLD postoperatively even if bilateral leg lengths are equal. There is no publication describing how to decide the amount of leg lengthening in such cases. Purpose : By examining the influence of preoperative lumbar lateral flexibility on postoperative perceived LLD, this study aims at creating a guideline for the optimal planning of leg lengthening in THA. Methods: In 59 cases undergoing primary unilateral THA, radiographic LLD, perceived LLD, pelvic tilting and lumbar lateral fl exibility were measured preoperatively. The amount of leg lengthening and the sequential change of the perceived LLD were measured postoperatively. Results: Twelve cases (20%) felt the perceived LLD at two years after surgery. All these cases felt the operative side longer than the non-operative side. In 32 cases with preoperative pelvic inclination to the affected side, postoperative perceived LLD was significantly greater if lumbar spine was rigid. In eight cases with pelvic tilting and rigid lumber spine, the amount of leg lengthening that exceeded preoperative perceived LLD aff ected the postoperative perceived LLD. Conclusions: In cases with preoperative pelvic inclination downward to the affected side and with rigid lumbar spine, amount of leg lengthening should not be excessively greater than preoperative perceived LLD. In other cases, lengthening the leg to the same length as the contralateral side rarely results in postoperative perceived LLD. | |||||
| 書誌情報 |
Journal of Medical and Dental Sciences en : Journal of Medical and Dental Sciences 巻 56, 号 1, p. 69-77, 発行日 2009-03 |
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| 出版者 | ||||||
| 出版者 | 国立大学法人 東京医科歯科大学 | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 2185-9132 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AA12028964 | |||||
| 論文ID（NAID） | ||||||
| 関連タイプ | isIdenticalTo | |||||
| 識別子タイプ | NAID | |||||
| 関連識別子 | 130005420246 | |||||
| PubMed番号 | ||||||
| 関連タイプ | isIdenticalTo | |||||
| 識別子タイプ | PMID | |||||
| 関連識別子 | 19697521 | |||||
| DOI | ||||||
| 関連タイプ | isIdenticalTo | |||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | 10.11480/jmds.560108 | |||||
| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
