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Author Topic: Leg length  (Read 1718 times)

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Jbennett

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Leg length
« on: March 15, 2012, 09:01:08 PM »
Dr Gross left me an operative report this morning. I guess it's a summary he submits to the hospital?? Anyway it notes a leg length increase of 3mm. I guess I'll ask him or nancy tomorrow when they see me before discharge. I was just curious if that was intentional or was it just because the components increased it. I do seem to call my hips were slightly off from the ortho that first diagnosed my oa. I was wondering if he was adding 3mm to even out leg length? Anybody have experience with that?
Right Biomet Uncemented Dr. Gross 3/14/12

Neild5

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Re: Leg length
« Reply #1 on: March 15, 2012, 09:08:21 PM »
An increase of 3 mm is about the most that resurfacing can do.  Your body will easily accommodate that since the OA probably had shrunk the joint by that much.
50 yo male left Biomet 2/28/11, right BHR 2/20/12

Aerial

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Re: Leg length
« Reply #2 on: March 15, 2012, 11:01:19 PM »
I also had surgery with Dr. Gross.  I had a small increase in leg length, not as much as you (sorry can't remember what it was but it was on the operative report)!
Right hip resurfacing with Dr. Gross on 12/5/11!

John C

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Re: Leg length
« Reply #3 on: March 15, 2012, 11:01:39 PM »
My surgery with Dr Gross came out 4mm longer than before. We had discussed the fact that my femur had worn a few mm's into my acetabulum, and he had tried to set the cup so that it was back at the original depth, which may explain why. My PT measured that it came out 4mm's longer than my other leg, so it may have not been intentional. The leg felt slightly longer at first, but soon felt normal, and it has never been an issue.
John/ Left uncemented Biomet/ Dr Gross/ 6-16-08
Right uncemented Biomet/Dr Gross/ 4/25/18

mslendzion

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Re: Leg length
« Reply #4 on: March 15, 2012, 11:29:23 PM »
My surgeon evened out my legs during the surgery.  My bad leg had become shorter than it was when I had a healthy hip.  After surgery I'm normal again.  I wonder if I was lucky and 4mm was the magic number to even things out again.
Left BHR 1/9/12 Dr. Schmitt

Jbennett

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Re: Leg length
« Reply #5 on: March 15, 2012, 11:33:42 PM »
Evened out is what I'm hoping for.
Right Biomet Uncemented Dr. Gross 3/14/12

Dannywayoflife

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Re: Leg length
« Reply #6 on: March 15, 2012, 11:52:06 PM »
I think they try to return your leg to a pre OA length as if your bone on bone then your leg has shortened as the cartilage has disappeared. My leg felt longer for a few months but feels the right length now. Also don't forget the capsule will take a long time to stretch back to a normal size again so that could exasperate the sensation. 
Train hard fight easy
LBHR 10/11/2011 Mr Ronan Treacy Birmingham England
60mm cup 54mm head
Rbhr 54mm head 60mm cup 12/02/15 Ronan Treacy ROH Birmingham England
;)

BrianROC

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Re: Leg length
« Reply #7 on: March 16, 2012, 11:48:20 PM »
Dr. Gross made me 2mm taller in each hip. 2" taller would have been nice. 

jb46

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Re: Leg length
« Reply #8 on: March 26, 2012, 12:55:16 AM »
I'm a 1/4" shorter on side Dr. Gross is resurfacing in April, due to major knee surgery/straightening of a bone. Can they make up that much?
Hadn't given it much thought till I saw this post.

Congrats J...hope all continues to go well...can't wait to join ya...jb

Tin Soldier

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Re: Leg length
« Reply #9 on: March 27, 2012, 08:24:49 PM »
I think measuring leg length difference like a PT does (pulling your legs together while you lay flat on the table) may be different than what the surgeon does (x-rays and fancy resurfacing templates and tools).  I'm speculating here so you might want to ask Gross about what exactly that measurement means and how it's measured. 

I would think measuring off some solid points on the pelvis and femur using x-ray and maybe some tools during surgery, would give you a pretty exact measurement within the hip area.  The PT on the table is going to get a lot "slop" from the back, angle of pelvis, and maybe even parts of the leg.  A lot of that "slop" goes away after sugrery and after recovery from years of limping. 

Also, If I recall correctly, the surgeon is trying to get the spacing back to the happy spot of about 8 mm (2 layers of cartilage and 4 mm or more of syn fluid), so they have to think about the thickness of the cup and the cap, which are essentially touching each other, and try to recreate that "spacing" which would put the hip back to a pre OA condition.  I think that is the primary goal for spacing and the actual leg length difference that might be measured by a PT is not really considered during surgery.  Again, I'm speculating, might want to double-check this concept with the surgeon. 

I guess, my point is that I've seen a number of discussion on this topic and a lot of the leg length issues seem to resolve themsleves after surgery and recovery to a more normal gate/posture.
LBHR 2/22/11, RBHR 8/23/11 - Pritchett.

Jbennett

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Re: Leg length
« Reply #10 on: March 28, 2012, 02:38:12 AM »
I think Dr. Gross takes that measurement from a point he establishes through the second little incision he makes a few inches above the main incision. On me it's about a 3/4" cut right about where the waist of my pants sits. Anybody know if I'm correct about that? They don't even suture it. Just throw a round band aid on it then cover that in the same waterproof dressing they put on the main wound.
Right Biomet Uncemented Dr. Gross 3/14/12

 

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