presents
Wheeless' Textbook of Orthopaedics
www.datatrace.com
Tracking Pixel

PreOp THR X-Rays: Limb Length





- See: Radiology of the Hip:

- Discussion:
      - obtain view w/ 15 deg of internal rotation;
      - draw a line at level of, & parallel to, ischial tuberosities and intersecting
            the lesser trochanter on each side;
      - compare 2 points of intersection & measure difference to determine the
            amount of limb shortening;
      - draw horizontal at level of proposed neck cut which may be used as a reference
            point during surgery;
      - draw a horizontal line at the level of the greater trochanter & see where
            it intersects on head of femoral component;
      - significant leg length descrepancies can partially be adressed w/ changing prosthetic
            offset and partially w/ femoral neck cut;





Original Text by Clifford R. Wheeless, III, MD.