Data from: Assessing leg length discrepancy post-total hip arthroplasty for neck of femur fractures: a retrospective analysis
Data files
Oct 16, 2024 version files 24.13 KB
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Data_collection_-_LLD_in_THR_after_NOF.xlsx
21.77 KB
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README.md
2.37 KB
Abstract
Introduction: Limb length discrepancy (LLD) is a recognized concern following total hip arthroplasty (THA) for various hip pathologies. THA is a common surgical intervention aiming to alleviate pain and restore function. LLD impacts patient satisfaction and functional outcomes. The main aim of this study was to detect any LLD following THA for a fractured neck or femur, and to focus on the functional outcome of THA in terms of LLD.
Methods: A retrospective study was conducted from January 2019 to December 2021, including all NOF patients eligible for THR based on mobility criteria and clinical assessment. Data were obtained from electronic patient records, postoperative notes, radiographs, and physiotherapy assessments.
Results: There were 58 patients who underwent THA for NOF fractures, average age was 75.6 years (range 62-92 years). The majority (96%) of patients were classified as ASA 2. The time of surgery (TOS) averaged 38.6 hours (range 8-266 hours), with 19 cases experiencing delays of over 36 hours due to surgeon availability. In terms of limb length discrepancy, no patients reported or were documented to have LLD postoperatively. Measurements showed a vertical offset difference mean of 0.47 cm (range 3.46-7.1 mm) and a horizontal offset difference mean of 0.51 cm (range 3.34-6.89 mm) between the operated and normal sides.
Conclusion: LLD post-THR in NOF patients did not appear clinically significant in this study's short-term follow-up. However, radiological evaluations revealed a notable disparity in leg lengths.
README: Assessing Leg Length Discrepancy Post-Total Hip Arthroplasty for Neck of Femur Fractures: A Retrospective Analysis
https://doi.org/10.5061/dryad.hhmgqnkrg
Description of the data and file structure
Data were collected by retrieving records of patients with neck of femur (NOF) fractures who underwent total hip arthroplasty (THA) for their fractures at University Hospital of Derby and Burton NHS Foundation Trust.
Demographic data, including age, gender, and relevant medical history, were collected. Implant types were noted from postoperative notes, physiotherapy records, and reviewed postoperative radiographs. Comorbidities were recorded using electronic patient records (EPR).
Files and variables
File: Data_collection_-_LLD_in_THR_after_NOF.xlsx
Description: one file containing nominal variables for patients undergoing Total Hip Arthroplasty after Neck or femur fractures but with no identifying patients’ data
Variables
- Age (years)
- Sex ( male vs female )
- Mobility ( independent vs mobile with aids )
- Level of activity ( high demand vs low demand )
- Abbreviated mental capacity score ( from 0-10 )
- Side (Right vs Left )
- Garden classification ( type 1/2/3 or 4 )
- Mode of injury ( high or low energy )
- Pre-existing arthritis ( yes or no )
- Time interval ( from fracture to surgery in hours )
- Level of surgeon ( consultant or Other )
- Approach ( anterior vs lateral vs posterior )
- Type of implant ( cemented - cement less -hybrid )
- Cup size (48-60 in MM)
- Cup type ( Contemporary vs SERF vs Rimfit Vs Trident )
- head diameter (22vs28vs32vs36 in MM)
- neck length (short vs standard vs long )
- head material ( ceramic vs Metal vs Biolex)
- stem size ( size 1/2/3 or 4 )
- stem type ( Exeter vs other )
- stem offset ( pre designed horizontal offset )
- anaesthesia ( spinal vs general vs both )
- American society of anaesthesiologist ( score 1/2/3 or 4 )
- normal side vertical offset
- THR side vertical offset
- vertical offset difference
- normal side horizontal offset
- THR side horizontal offset
- horizontal offset difference
- physio outcome ( based on patient satisfaction either satisfied or not )
- patient complaining of LLD ( either patient complaining of limb length discrepancy or not )
Code/software
n/a
Methods
This retrospective study was conducted between January 2019 and December 2021. Data were collected by retrieving records of patients with neck of femur (NOF) fractures who underwent total hip arthroplasty (THA) for their fractures at the University Hospital of Derby and Burton NHS Foundation Trust.
Demographic data, including age, gender, and relevant medical history, were collected. Implant types were noted from postoperative notes, physiotherapy records, and reviewed postoperative radiographs. Comorbidities were recorded using electronic patient records (EPR).
Radiological assessments were conducted using standardized radiographs.
Data were summarized using descriptive statistics. Quantitative data were presented as mean, standard deviation, median, minimum, and maximum values. Categorical data were summarized using frequency counts and relative frequencies (percentages). t-test was used to compare the means of the two groups.