Effect of anesthesia type on limb length discrepancy after total hip arthroplasty

被引:62
作者
Sathappan, Sathappan S. [1 ]
Ginat, Daniel [1 ]
Patel, Vipul [1 ]
Walsh, Michael [1 ]
Jaffe, William L. [1 ]
Di Cesare, Paul E. [1 ]
机构
[1] NYU, Hosp Joint Dis, Mcclure Musculoskeletal Res Ctr, Dept Orthopaed Surg, New York, NY USA
关键词
total hip arthroplasty; limb length discrepancy; regional anesthesia; general anesthesia; preoperative templating;
D O I
10.1016/j.arth.2007.01.022
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A retrospective study of 132 patients (63 spinal anesthesia and 69 general anesthesia) undergoing total hip arthroplasty was performed by 4 fellowship-trained adult reconstructive surgeons to determine the influence of anesthesia type on postoperative limb length and medial offset. Limb length discrepancy occurred in 87.0% of patients who received regional anesthesia as opposed to 47.6% patients who had general anesthesia (P < .001). Differences in postoperative medial offset measurements between the 2 groups were not statistically significant. It was concluded that surgeons operating on patients who receive regional anesthesia should supplement intraoperative tests for assessing hip stability with meticulous preoperative templating to avoid overlengthening the operative limb.
引用
收藏
页码:203 / 209
页数:7
相关论文
共 56 条
[1]
ABRAHAM WD, 1992, ORTHOP CLIN N AM, V23, P201
[2]
Leg length measurement: a new method to assure the correct leg length in total hip arthroplasty [J].
Affatato, S ;
Toni, A .
MEDICAL ENGINEERING & PHYSICS, 2000, 22 (06) :435-439
[3]
AMSTUTZ HC, 1982, CLIN ORTHOP RELAT R, P21
[4]
AMSTUTZ HC, 1991, HIP ARTHROPLASTY, P249
[5]
Stability and leg length equality in total hip arthroplasty [J].
Austin, MS ;
Hozack, WJ ;
Sharkey, PF ;
Rothman, RH .
JOURNAL OF ARTHROPLASTY, 2003, 18 (03) :88-90
[6]
Blackley H R, 2000, Instr Course Lect, V49, P3
[7]
Bose WJ, 2000, ORTHOPEDICS, V23, P433
[8]
Soft tissue balancing - The hip [J].
Bourne, RB ;
Rorabeck, CH .
JOURNAL OF ARTHROPLASTY, 2002, 17 (04) :17-22
[9]
Capello W N, 1986, Instr Course Lect, V35, P249
[10]
DETERMINATION OF ACCURACY OF PREOPERATIVE TEMPLATING OF NONCEMENTED FEMORAL PROSTHESES [J].
CARTER, LW ;
STOVALL, DO ;
YOUNG, TR .
JOURNAL OF ARTHROPLASTY, 1995, 10 (04) :507-513