Author(s):
Shashank Tayal, Rajesh Maheshwari, Digvijay Agarwal
Email(s):
rmaheswari834@gmail.com
DOI:
10.52711/0974-360X.2025.00214 
Address:
Shashank Tayal1, Rajesh Maheshwari2*, Digvijay Agarwal3
1Department of Orthopaedics, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, India.
2Professor, Department of Orthopaedics, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, India.
3Department of Orthopaedics, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, India.
*Corresponding Author
Published In:
Volume - 18,
Issue - 4,
Year - 2025
ABSTRACT:
Background and objectives: One of the most common operations in orthopedic practice nowadays is total hip arthroplasty. The objective of several research projects using diverse methodologies has been to reduce the difference in limb length between patients after total hip replacement. Most of these methods are laborious and have not been able to get rid of the difference in limb length entirely. It is imperative that strategies be developed that are simple, achievable, and effective in reducing the disparity in limb length. The purpose of this research was to assess the effectiveness of the double suture technique in preventing limb length discrepancy (LLD) after total hip replacement (THA). Materials and Methods: In order to assess the effectiveness of the Double Suture Technique for preventing limb length discrepancy, we did prospective observational research on 53 patients having primary Total Hip Arthroplasty at our institution. The data were compared with existing literature to determine the technique's usefulness. Results: The mean clinical LLD after surgery was 1.2±2.3 mm. Of the patients, 77% had no real clinical LLD after surgery, 21% had a clinical LLD of 5 mm, and 2% had an LLD of 10 mm. The radiographic LLD after surgery was 5.2±3.9 mm on average. (31 individuals had radiological LLD of less than 5 mm; 2 patients had no LLD.) Conclusion: In summary, the double suture approach used in this research has shown efficacy, validity, affordability, ease of application, and reliability in reducing lower limb loss.
Cite this article:
Shashank Tayal, Rajesh Maheshwari, Digvijay Agarwal. Double Suture Technique: To Prevent Limb Length Discrepancy in Total Hip Arthroplasty. Research Journal of Pharmacy and Technology. 2025;18(4):1491-6. doi: 10.52711/0974-360X.2025.00214
Cite(Electronic):
Shashank Tayal, Rajesh Maheshwari, Digvijay Agarwal. Double Suture Technique: To Prevent Limb Length Discrepancy in Total Hip Arthroplasty. Research Journal of Pharmacy and Technology. 2025;18(4):1491-6. doi: 10.52711/0974-360X.2025.00214 Available on: https://rjptonline.org/AbstractView.aspx?PID=2025-18-4-5
REFERENCES:
1. Kremers HM, Larson DR, Crowson CS, Kremers WK, Washington RE, Steiner CA, Jiranek WA, Berry DJ. Prevalence of total hip and knee replacement in the United States. JBJS. 2015; Sep 2; 97(17): 1386-97.
2. George R. Effectiveness of Self-Instructional module on prevention of Osteoporosis among middle aged women who are attending Orthopaedic outpatient department in selected hospital, Bangalore. International Journal of Nursing Education and Research. 2020; 8(4): 525-8.
3. Gupta R, Pathak P, Singh R, Majumdar KP. Double-stitch technique: a simple and effective method to minimize limb length discrepancy after total hip arthroplasty. Indian Journal of Orthopaedics. 2019; Feb; 53: 169-73.
4. Parvizi J, Sharkey PF, Bissett GA, Rothman RH, Hozack WJ. Surgical treatment of limb-length discrepancy following total hip Arthroplasty. JBJS. 2003; Dec 1; 85(12): 2310-7.
5. Kayani B, Pietrzak J, Hossain FS, Konan S, Haddad FS. Prevention of limb length discrepancy in total hip arthroplasty. British Journal of Hospital Medicine. 2017; Jul 2; 78(7): 385-90.
6. Ranawat CS, Rao RR, Rodriguez JA, Bhende HS. Correction of limb-length inequality during total hip arthroplasty. The Journal of Arthroplasty. 2001; Sep 1; 16(6): 715-20.
7. Della Valle AG, Slullitel G, Piccaluga F, Salvati EA. The precision and usefulness of preoperative planning for cemented and hybrid primary total hip arthroplasty. The Journal of Arthroplasty. 2005; Jan 1; 20(1): 51-8.
8. Konyves A, Bannister GC. The importance of leg length discrepancy after total hip arthroplasty. The Journal of Bone and Joint Surgery British Volume. 2005; Feb 1; 87(2): 155-7.
9. BT L. Leg-length discrepancy after total hip replacement. J Bone Joint Surg Am., B. 1983; 65: 103.
10. Williamson JA, RECKLING FW. Limb length discrepancy and related problems following total hip joint replacement. Clinical Orthopaedics and Related Research (1976-2007). 1978; 134: 135-8.
11. Lissa J, Saraswathi KN, Kumar V. A Descriptive Study to assess the Knowledge among the Nurses Regarding Prevention of Medical Error among the Nurses in Selected Hospital at Mysore. Asian Journal of Nursing Education and Research. 2015; 5(2): 259-61.
12. Sidhu G, Kaur A. Knowledge and attitude of students regarding bio medical waste management. Asian Journal of Nursing Education and Research. 2016; 6(1): 123-6.
13. Clark CR, Huddleston HD, Schoch III EP, Thomas BJ. Leg-length discrepancy after total hip arthroplasty. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2006; 14(1): 38-45.
14. Tukuru N, Gowda KP, Ahmed SM, Badami S. Rapid prototype technique in medical field. Research Journal of Pharmacy and Technology. 2008; 1(4): 341-4.
15. Chand N, Sharma P, Yadav P. Assess the knowledge regarding Osteoarthritis among the Osteoarthritis client in middle adulthood in Orthopedic OPD in Rohilkhand Medical College and Hospital, Bareilly UP, with self-developed Instructional module. Asian Journal of Nursing Education and Research. 2021; 11(3): 326-8.
16. Cuckler JM. Limb length and stability in total hip replacement. Orthopedics. 2005; 28(9): 951-3.
17. Naito M, Ogata K, Asayama I. Intraoperative limb length measurement in total hip arthroplasty. International orthopaedics. 1999; 23: 31-3.
18. Bose WJ. Accurate limb-length equalization during total hip arthroplasty. Orthopedics. 2000; May 1; 23(5): 433.
19. Shiramizu K, Naito M, Shitama T, Nakamura Y, Shitama H. L-shaped caliper for limb length measurement during total hip arthroplasty. The Journal of Bone and Joint Surgery British Volume. 2004; Sep 1; 86(7): 966-9.
20. Woolson ST, HARRIS WH. A method of intraoperative limb length measurement in total hip arthroplasty. Clinical Orthopaedics and Related Research. 1985; Apr 1;194:207-10.
21. Matsuda K, Nakamura S, Matsushita T. A simple method to minimize limblength discrepancy after hip arthroplasty. Acta Orthopaedica. 2006; Jan 1; 77(3): 375-9.
22. Papadopoulos DV, Koulouvaris P, Aggelidakis GC, Tsantes AG, Lykissas MG, Mavrodontidis A. Intraoperative measurement of limb lengthening during total hip arthroplasty. Indian Journal of Orthopaedics. 2017; Apr; 51: 162-7.
23. Dwivedi SK, Patel K, Uday S, Adile SL. Evaluation of incentive spirometer as a tool in chest Physiotherapy. Research Journal of Pharmacology and Pharmacodynamics. 2015; 7(1): 38-9.
24. Mondal R, Sarkar N, Satyanarayana P, Lingaiah A. Work Study of Bio-medical Waste Transportation from point of generation to storage in a Tertiary Care Hospital. Asian Journal of Management. 2015; 6(4): 331-5.
25. Sowmya MV, Gowthami CB. A Comparative Study on Resistance Exercise and Nerve and Tendon gliding Exercise on thumb usage and it's MSD among Physiotherapy Students. Research Journal of Pharmacy and Technology. 2018; 11(8): 3457-60.
26. Sowmya MV, Mangayarkarasi M. Effect of physiotherapy intervention after platelet rich plasma procedure in subjects with grade 3 osteoarthritis knee. Research Journal of Pharmacy and Technology. 2020; 13(5): 2065-8.
27. Sana A, Rashid HN, Ilyas MN, Danish H, Sheraz MA, Atif AB. SWOT Analysis of Physiotherapy Profession in Pakistan. Research Journal of Pharmacy and Technology. 2018; 11(10): 4553-8.
28. Karthikeyan D, Bhowmick M, Pandey VP, Sengottuvelu S, Sonkar S, Gupta N, Mohod V, Shivakumar T. Design and evaluation of ofloxacin extended release ocular inserts for once a day therapy. Research Journal of Pharmacy and Technology. 2008; 1(4): 460-8.