Comparison of gait kinematics in total and unicondylar knee replacement surgery
| Autor: | Weijie Wang, S Miller, Rami Abboud, Graham Arnold, W Hadden, Linda Johnston, A Agarwal |
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| Rok vydání: | 2019 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Gait kinematics Total knee arthroplasty Kinematics 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Gait (human) Humans Medicine Range of Motion Articular Unicondylar Knee Arthroplasty Arthroplasty Replacement Knee Gait Aged Retrospective Studies 030222 orthopedics business.industry Retrospective cohort study 030229 sport sciences General Medicine musculoskeletal system Biomechanical Phenomena Unicondylar Knee Replacement Gait analysis Trauma and Orthopaedic Surgery: Knee Surgery Female Surgery Gait Analysis business human activities |
| Zdroj: | Ann R Coll Surg Engl |
| ISSN: | 1478-7083 0035-8843 |
| DOI: | 10.1308/rcsann.2019.0016 |
| Popis: | Introduction This study is aimed to compare kinematic gait data of patients who have undergone total and unicondylar knee replacement. Materials and methods This single-surgeon retrospective cohort study evaluated 13 patients with unilateral total knee arthroplasty (TKA) and 14 unicondylar knee arthroplasty (UKA). Gait analysis was carried out using a Vicon motion analysis system. The limits of knee flexion during stance phase, at heel strike and at loading response were measured. Results The total range of motion of the UKA knees was significantly greater than the TKA knees. UKA knees exhibited significantly greater knee extension during the stance phase than the TKA knees. Unlike TKA, UKA knees demonstrated improved knee flexion during the gait cycle when compared to the contralateral non-operated knee. The hips also demonstrated near normal hip flexion in UKA patients. Predictably, UKA knees had significantly greater varus compared with TKA in the coronal plane. Spatiotemporal variables demonstrated similar walking speed and step length to aid a fair comparison between knee replacement groups. Conclusions The UKA knees moved more physiologically in the sagittal plane with a greater range of motion during gait. Despite having a stiff gait pattern, the patients undergoing TKA demonstrated a more neutral alignment in the coronal plane. Neither type of knee arthroplasty restored knee kinematics to those of the non-operated side. |
| Databáze: | OpenAIRE |
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