Authors of section


Derek Donegan, Michael Huo, Michael Leslie

Executive editor

Michael Baumgaertner

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Patient examination

1. Assessment of limb length and rotation

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In case of comminution, the assessment of rotation is exceedingly more difficult.

Limb length can be established by preoperative measurement of the contralateral limb.

Rotation can be assessed with a physical examination of the contralateral extremity and radiographs of the femur and hip to create a preoperative template.

Assessment of rotation

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One method of preoperative radiographic templating is to obtain a direct lateral radiograph of the knee and a radiograph in the AP plane of the hip at 90° orthogonal to the first knee x-ray.

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The profile of the lesser trochanter should be radiographically similar once reduction is complete.