Journal
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
Volume 97, Issue 1, Pages 98-101Publisher
ELSEVIER MASSON, CORPORATION OFFICE
DOI: 10.1016/j.otsr.2010.07.010
Keywords
Total hip replacement; Patellofemoral syndrome; Limb-length discrepancy; EOS imaging system
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An aspect of patellofemoral syndrome secondary to total hip replacement (THR) is mainly suggestive of a problem of femoral implant torsion. We here present the first reported case of patellofemoral syndrome secondary to THR relating to limb-length discrepancy, with no abnormality of femoral torsion. The pelvis adapted to the length inequality by axial rotation rather than frontal tilt, and this went undetected on standard X-ray and CT-scan. 3D imaging in upright posture on the EOS system enabled the situation to be clearly described and analyzed, and adapted surgical correction to be indicated. (C) 2011 Published by Elsevier Masson SAS.
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