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E postoperative limb-length inequality was 4. 2 mm. None of the patients had to use shoe lifts for equalization of limb lengths or complained of limb-length inequality. Conclusion: this method of measurement is beneficial with most tha approaches, and the technique is helpful for minimizing limb-length inequality during tha. ********** limb-length inequality after total hip arthroplasty (tha) is not uncommon and can be a cause of patient dissatisfaction. (1-4) several methods of measuring limb length directly or indirectly during tha have been described. (5-10) as examples of the indirect methods, charnley reported comparison of the limb length by palpation palpation /palâ·paâ·tion/ (pal-paâ´shun) the act of feeling with the hand; the application of the fingers with light pressure to the surface of the body for the purpose of determining the condition of the parts beneath in physical diagnosis.  of the medial malleoli and what is commonly called the "shuck" test of the operated hip. (5) measurement of the distance between two reference points on the ilium ilium: see troy.  and the femur has been one of the most commonly employed approaches of the direct methods. (6,7,9,10) most of the reports adopt kirschner wires or steinmann pins, but we believe that there is a risk of intraoperative loosening. The measurement may not be accurate if the pin in the ilium is not fixed firmly to the bone and it loosens during the procedure. Therefore, a stable pelvic reference point must be established during surgery to determine changes in limb length. We use the calipers dual pin retractor (cpdr), which has two 4-inch pins that cannot be dislodged from the ilium, as an intraoperative measuring device to prevent limb-length inequality after tha. (11) materials and methods during tha, a stable reference point must be established to determine changes in leg length. The cdpr was developed to establish a fixed point on the pelvis that would remain constant throughout the procedure and from which the distance to the greater trochanter could be measured prior to dislocation of the hip. The cdpr utilizes the design of a charnley (5) pin r. buy cheap viagra buy viagra buy viagra online viagra for sale without a prescription viagra without a doctor prescription buy viagra viagra online buy cheap viagra viagra for sale

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