J Korean Orthop Res Soc.  2014 Dec;17(2):25-32. 10.0000/jkors.2014.17.2.25.

Difference of Kinematic Pattern According to the Severity of Limb Length Discrepancy: 3-Dimensional Analysis

Affiliations
  • 1Department of Orthopedic Surgery, Seoul National University Hospital, Seoul, Korea. leedy@snu.ac.kr
  • 2Department of Orthopedic Surgery, Kangwon National University Hospital, Seoul, Korea.

Abstract

PURPOSE
The purpose of this study is to analyze the compensatory motion and extent of the patient with leg length discrepancy.
MATERIALS AND METHODS
Thirty seven patients with leg length discrepancy were tested by conventional gait analysis from 2003 to 2012. The patients were divided into mild, moderate, and severe groups. Pelvic obliquity, hip flexion, hip abduction, knee flexion in stance and swing phase, and ankle plantar flexion were measured with regard to affected and unaffected limb.
RESULTS
Pelvic obliquity, hip flexion, hip abduction, knee flexion in swing phase, and ankle plantar flexion were significantly difference between affected and unaffected limb. The range of motions in pelvic obliquity and ankle plantar flexion of affected limb were significantly higher according to severity of limb length discrepancy.
CONCLUSION
The patients with limb length discrepancy have the different compensatory motion according to affected side and severity. We should adjust the target of treatment in consideration of limb length discrepancy.

Keyword

Limb length discrepancy; Gait analysis; Compensation

MeSH Terms

Ankle
Compensation and Redress
Extremities*
Gait
Hip
Humans
Knee
Leg
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