@corycalendinemd: Will One Leg Be Longer After My Hip Replacement? . By the time arthritis is severe enough to need surgery, the affected hip has often already shortened. Cartilage on the ball and socket has worn away, the femoral head may have collapsed, and the soft tissues around the joint have contracted. Many patients walk into the operating room already several millimeters short on the arthritic side, even when they have never felt it. When we restore that hip with an implant, we're rebuilding the natural anatomy in metal and polyethylene. Length and offset work together to recreate proper soft tissue tension, and that tension is what holds the new joint stable in the socket. Stability is priority one. A perfectly symmetric hip that dislocates is a far worse outcome than a hip that sits a few millimeters long and stays where it belongs. . Robotic and computer assisted planning has changed how precisely we can dial in these decisions. We can verify cup position, leg length, and offset down to the millimeter intraoperatively. A point worth sharing with patients. Perceived length is not the same as measured length. Pelvic tilt, spine stiffness, hip flexion contracture, and years of compensatory gait patterns all influence how a leg feels after surgery. Most apparent discrepancies resolve within six to twelve weeks as the pelvis levels, muscles rebalance, and the brain learns the new normal. When a true discrepancy remains, a simple shoe insert almost always solves it. The goal has never been perfect symmetry on day one. It is a stable, durable hip and a body that adapts. #leglength #orthopedicsurgery . SHARE your #hipreplacement experience & insights

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Saturday 16 May 2026 16:05:21 GMT