HomeAnswersOrthopedician and Traumatologyleg length discrepancyIs it necessary to get hip replacement to correct leg discrepancy?

Should I get hip replacement done to correct leg discrepancy?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At February 5, 2020
Reviewed AtAugust 17, 2023

Patient's Query

Hello doctor,

Got surgery done for a "fracture neck of the femur" five years back. Now living life with a 1-inch leg length discrepancy. Highly demotivated. Hip replacement is suggested by surgeons but not now, as I am 30 years old. As per them, revision surgery is required after 15 years or so. My question is if I go for hip replacement,will my leg gets normal? Why revision surgery is only after 10-15 years and not after 35 years (though some doctors say that they do hip replacement and acetabulam remains for 35 years, is it possible? How can I compromise leg length by using Shoe lifts (will limping be visible after that or not) Kindly help.

Hi,

Welcome to icliniq.com.

I can understand that limb lengthening can be of concern but you can ealisy wear a heel raise on the normal side of just 1.5 cms (not totally correcte to 1.5 inches, it should always be undercorrected by 1 cm), limping depends upon you abductor hip muscle strength- so you need to do exercises. Regarding hip replacement - if you have an avascular necrosis with a painful hip - only then you require a replacement , otherwise not, And the timing is not fixed - hip replacement can be done at a time when you have excessive pain not relieved by medicines, After hip replacement - you hip should be near normal. I suggest you to uplod your latest hip X-ray so that I can see and accurately suggest treatment methods, and provide you more information,

Probable diagnosis

Query regarding hip replacement

Regarding follow up

Follow up with latest xrays

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sharoff Lokesh Mohan
Dr. Sharoff Lokesh Mohan

Orthopedician and Traumatology

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