Abstract
Background- Surgeries around the hip joints are commonly found to have been associated with potential risk of immediate or late limb length inequality. Many times most of satisfaction level are associated with this problem. This study was performed in adults to determine the effects of shoe raise in significant limb equalities on patient satisfaction level on long basis.
Materials and Methods: We studied 112 patients attending Orthopaedics department of sir J J Group of Hospitals .with significant limb length inequalities following hip surgery around hip either due to trauma or replacement. Radiological analysis was done to calculate limb lenth difference. The gait analysis was done in 3 month interval till one year follow up. The patient satisfaction level analysis was done using harris hip score
Results: The gait pattern especially short limb gait was significantly improved following treatment with shoe raises. There was no significant improvement in muscular gaits like trendelen bergs gait or waddling gait. The patient satisfaction level was improved by 10 percent following shoe raises.
Conclusions: The treatment of limb length discrepancy using shoe raise has significant impact on patient satisfaction level especially symptomatic one. The shortening following trauma surgeries should be treated by shoe raises especially in cases of length or varus malunion.
Key Words- Limb Length discrepancy, Hip surgery, trauma and replacement, shoe raise.
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Corresponding Author
Dr Neetin Pralhad Mahajan
Associate Professor, (Orthopaedics)
Flat No. 12, Panchsheel Building, Sir J J Hospital Compound, Byculla, Mumbai 400008
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