Leg Length Measurement with Smartphone Application During Surgery: Useful, Easy and Reliable Method

Year 2022, Volume: 3 Issue: 2, 205 - 211, 01.08.2022

İbrahim Alper Yavuz , Onur Gök , Utku Gürhan , Fuad Öken

Abstract

Introduction: Leg Length Discrepancy (LLD) is one of the main problems in Hip Arthroplasty. During surgery, despite a lot of defined methods, the gold-standard method has not existed yet. The purpose of this study was to evaluate the application program as a measurement method in hip arthroplasty operations and compare the application measurement methods. Methods: Between December 2018 and December 2019, 166 consecutive patients who had operated for primary coxarthrosis were included in the study. Two methods (sterile tape and application program) were used during the surgery to equalize the leg length difference. These methods were compared with each other and with preoperative and postoperative orthoroentgenography. Results: There was no statistically significant difference between the values measured with the preoperative and intraoperative application and the values measured with the preoperative and postoperative orthoroentgenography (p<0.05). There was a statistically significant difference between the values found as a result of measurement with sterile tape and the results found with the application (p<0.05). Conclusion: The application method is easy cheap and a reliable method for evaluating LLD during surgery. With this method, measurements can be made correctly. This method can be used as an additional or primary method in evaluating LLD.

Keywords

Leg Length Discrepancy, Measurement with Application, Intraoperative Measurement, Coxarthrosis

Ameliyat Sırasında Akıllı Telefon Uygulaması ile Bacak Uzunluk Ölçümü: Kullanışlı, Kolay ve Güvenilir Yöntem

Abstract

Giriş: Bacak Uzunluk Eşitsizliği (BUE), Kalça Artroplastisindeki ana problemlerden biridir. Ameliyat sırasında tanımlanmış birçok yönteme rağmen altın standart yöntem henüz mevcut değildir. Bu çalışmanın amacı, kalça artroplastisi ameliyatlarında bir ölçüm yöntemi olarak akıllı telefon uygulama programını değerlendirmek ve uygulama ölçüm yöntemlerini karşılaştırmaktır. Yöntemler: Aralık 2018 ile Aralık 2019 tarihleri arasında primer koksartroz nedeniyle opere edilen ardışık 166 hasta çalışmaya dahil edildi. Ameliyat sırasında bacak uzunluğunu eşitlemek için iki yöntem (steril mezura ve uygulama programı) kullanıldı. Bu yöntemler birbirleriyle ve ameliyat öncesi ve sonrası ortoröntgenografi ile karşılaştırıldı. Bulgular: Preoperatif ve intraoperatif uygulama ile ölçülen değerler ile preoperatif ve postoperatif ortoröntgenografi ile ölçülen değerler arasında istatistiksel olarak anlamlı fark yoktu (p<0.05). Steril mezura ile yapılan ölçüm sonucu bulunan değerler ile uygulama ile bulunan sonuçlar arasında istatistiksel olarak anlamlı fark bulundu (p<0.05). Sonuç: Uygulama programı kullanımı, ameliyat sırasında BUE'ni değerlendirmek için kullanılan kolay, ucuz ve güvenilir bir yöntemdir. Bu yöntemle ölçümler doğru bir şekilde yapılabilmektedir. Bu yöntem, BUE'ni değerlendirmede ek veya birincil yöntem olarak kullanılabilir.

Keywords

Bacak Uzunluk Eşitsizliği,, Aplikasyon ile Ölçüm, İntraoperatif Ölçüm, Koksartroz

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