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Achieving Stability and Lower-Limb Length in Total Hip Arthroplasty by Keith R. Berend, Scott M. Sporer, Rafael J. Sierra, Andrew H. Glassman, and Michael.

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Presentation on theme: "Achieving Stability and Lower-Limb Length in Total Hip Arthroplasty by Keith R. Berend, Scott M. Sporer, Rafael J. Sierra, Andrew H. Glassman, and Michael."— Presentation transcript:

1 Achieving Stability and Lower-Limb Length in Total Hip Arthroplasty by Keith R. Berend, Scott M. Sporer, Rafael J. Sierra, Andrew H. Glassman, and Michael J. Morris J Bone Joint Surg Am Volume 92(16):2737-2752 November 17, 2010 ©2010 by The Journal of Bone and Joint Surgery, Inc.

2 Keith R. Berend et al. J Bone Joint Surg Am 2010;92:2737- 2752 ©2010 by The Journal of Bone and Joint Surgery, Inc.

3 Keith R. Berend et al. J Bone Joint Surg Am 2010;92:2737- 2752 ©2010 by The Journal of Bone and Joint Surgery, Inc.

4 Standing evaluation of clinical limb length is performed by measuring the pelvic obliquity and limb length difference. Keith R. Berend et al. J Bone Joint Surg Am 2010;92:2737- 2752 ©2010 by The Journal of Bone and Joint Surgery, Inc.

5 Supine evaluation of limb length inequality is performed by measuring the distance between the anterior superior iliac spine and the medial malleolus with a tape measure. Keith R. Berend et al. J Bone Joint Surg Am 2010;92:2737- 2752 ©2010 by The Journal of Bone and Joint Surgery, Inc.

6 Keith R. Berend et al. J Bone Joint Surg Am 2010;92:2737- 2752 ©2010 by The Journal of Bone and Joint Surgery, Inc.

7 Keith R. Berend et al. J Bone Joint Surg Am 2010;92:2737- 2752 ©2010 by The Journal of Bone and Joint Surgery, Inc.

8 Preoperative anteroposterior pelvic radiograph made with the patient supine shows severe erosive arthritis of the right hip. Keith R. Berend et al. J Bone Joint Surg Am 2010;92:2737- 2752 ©2010 by The Journal of Bone and Joint Surgery, Inc.

9 Preoperative templating can be performed with use of computerized radiology software. Keith R. Berend et al. J Bone Joint Surg Am 2010;92:2737- 2752 ©2010 by The Journal of Bone and Joint Surgery, Inc.

10 The so-called safe zone for orientation of the acetabular component. Keith R. Berend et al. J Bone Joint Surg Am 2010;92:2737- 2752 ©2010 by The Journal of Bone and Joint Surgery, Inc.

11 Various methods of restoring offset with use of the femoral stem. Keith R. Berend et al. J Bone Joint Surg Am 2010;92:2737- 2752 ©2010 by The Journal of Bone and Joint Surgery, Inc.

12 With the patient in a lateral position, the uninvolved lower limb is used to reference limb lengths intraoperatively. Keith R. Berend et al. J Bone Joint Surg Am 2010;92:2737- 2752 ©2010 by The Journal of Bone and Joint Surgery, Inc.


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