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Background: Leg length discrepancy (LLD) is a frequent source of dissatisfaction and litigation following total hip arthroplasty (THA). To minimize the risk of postoperative LLD, meticulous planning before surgery and intraoperative clinical and radiographic assessment are critical.
Therapy: The discrimination between structural and functional causes is a key aspect in the management of LLD and guides therapeutic decision-making. Functional LLDs are common in the early postoperative phase and typically respond well to conservative treatment. In patients with neurologic deficits or recurrent dislocations revision surgery is warranted. There is no universally accepted threshold for revision in patients with persistent LLD unresponsive to non-operative measures, and surgical re-intervention should be based on individual decision-making in these cases. This review summarizes current evidence on the etiology, diagnosis, prevention, and management of leg length discrepancy following THA.
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http://dx.doi.org/10.1007/s00132-025-04669-w | DOI Listing |
Front Plant Sci
August 2025
Country College of Soil and Water Conservation Science and Engineering, Northwest A&F University, Xianyang, Shaanxi, China.
Introduction: The discrepancies in near-soil-surface hydrologic processes triggered by herbage spatial distribution pattern greatly influence the variation in hillslope erosion process. However, knowledge about the influence of herbage spatial distribution pattern on hillslope erosion is still limited.
Methods: In the current study, runoff plots (length × width × depth, 2 × 1 × 0.
J Am Acad Orthop Surg
September 2025
From the Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY (Neitzke, O'Donnell, Buchalter, Chandi, Westrich, and Gausden), the Department of Orthopedic Surgery, University of Wisconsin-Madison, Madison, WI (O'Donnell), and Somers Orthopaedic Surgery & Sports Medicine Group
Introduction: Developmental dysplasia of the hip (DDH) poses challenges for component positioning during total hip arthroplasty (THA) secondary to abnormal bone morphology, soft-tissue contractures, and hip center migration. The objective of this study was to evaluate the radiographic and clinical outcomes of THA for DDH performed with robotic assistance versus manual (M) technique.
Methods: A retrospective review identified 115 patients with Crowe II to IV dysplasia undergoing primary THA at a single institution from 2016 to 2022.
Front Pharmacol
August 2025
Anesthesiology Department, Bayingolin Mongolian Autonomous Prefecture People's Hospital, Korla, China.
Objective: Anesthesia during the surgery impairs immune systems. Ketamine is an anesthetic with immune protective effects. This study intended to investigate the effect of a ketamine-involved anesthetic regimen on cellular immunity and inflammatory cytokines in patients who undergo laparoscopic colon cancer surgery.
View Article and Find Full Text PDFAnal Chim Acta
November 2025
School of Pharmacy, Tongji Medical College, Huazhong University of Science & Technology, #13 Hangkong Road, Wuhan, Hubei, 430030, PR China. Electronic address:
Even small deviations in modulation timing (DMT) can cause discrepancies between the originally set modulation period (P) and the actual P in comprehensive two-dimensional gas chromatography (GC × GC) analysis. This study explored the impact of DMT on the accuracy of the second dimensional retention time (t) and the second dimensional retention index (I) calculations and introduced a line detection technology (LDT) based on the Hough Transform to correct DMT-induced t shifts. The correction was achieved by automatically adjusting candidate P values until the slope of the line(s) (CB_line(s)) formed by column bleeding compound peaks in the isothermal section of the contour plot approached zero, thereby determining the actual P.
View Article and Find Full Text PDFAm J Med Sci
September 2025
The George Washington University School of Medicine and Health Sciences, Washington, DC.
Background: In transcatheter aortic valve replacement (TAVR), there is a notable "diabetes discrepancy", where worse/better/similar outcomes were all found for patients with diabetes mellitus (DM). Such divergent findings pose a challenge for clinicians to accurately assess the risks for DM patients undergoing TAVR. We hypothesized the presence of chronic complications could be linked to worse post-TAVR outcomes in DM patients.
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