Current applications of gait analysis after total knee arthroplasty: A scoping review.

Autor: Vij N; University of Arizona College of Medicine - Phoenix, Department of Orthopedic Surgery, 475 N. 5th Street, Phoenix, AZ, 85012, USA., Leber C; University of Arizona College of Medicine - Phoenix, Department of Orthopedic Surgery, 475 N. 5th Street, Phoenix, AZ, 85012, USA., Schmidt K; University of Arizona College of Medicine - Phoenix, Department of Orthopedic Surgery, 475 N. 5th Street, Phoenix, AZ, 85012, USA.; Department of Orthopedic Surgery, Banner University College of Medicine Phoenix, 1320 N 10th St. Ste A, Phoenix, AZ, 85006, USA.; OrthoArizona, 033 N 44th St. Suite 100, Phoenix, AZ, 85008, USA.
Jazyk: angličtina
Zdroj: Journal of clinical orthopaedics and trauma [J Clin Orthop Trauma] 2022 Sep 05; Vol. 33, pp. 102014. Date of Electronic Publication: 2022 Sep 05 (Print Publication: 2022).
DOI: 10.1016/j.jcot.2022.102014
Abstrakt: Introduction: The biomechanics of the knee do not return to normal after knee replacement. The purpose of this scoping review is to summarize the current use of gait analysis in total knee arthroplasty and to identify the preoperative motion analysis parameters for which a systematic review aimed at determining the reliability and validity may be warranted.
Materials and Methods: This IRB-exempt scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. The 279 articles from the five search engines underwent a title/abstract and full-text screening. Included articles were categorized as either: the role of gait analysis as a research tool for operative decisions, other research applications for motion analysis in total knee arthroplasty, gait analysis as a tool in predicting radiologic outcomes, or gait analysis as a tool in predicting clinical outcomes.
Results: Eleven articles studied gait analysis as a research tool in studying operative decisions. Five articles studied other research applications for motion analysis in total knee arthroplasty. Other research applications for motion analysis currently include studying the role of the unicompartmental knee arthroplasty and novel physical therapy protocols aimed at optimizing post-operative care. Two articles studied motion analysis as a tool for predicting radiographic outcomes. 15 articles studied motion analysis in conjunction with clinical scores.
Conclusions: There is a broad range of research applications for motion analysis in knee reconstruction. Current limitations include vague definitions of 'gait analysis' or 'motion analysis' and a limited number of articles with preoperative and postoperative outcomes. Knee adduction moment, knee adduction impulse, total knee range of motion, varus angle, cadence, stride length, and velocity have the potential for integration into composite clinical scores. A systematic review to determine the psychometric properties of these variables is warranted.
Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(© 2022.)
Databáze: MEDLINE
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