Gait Analysis 1 Year after Primary TKA: No Difference between Gap Balancing and Measured Resection Technique
| Autor: | Stéphane Armand, Hermès Howard Miozzari, Katia Turcot, Alice Bonnefoy-Mazure, Anne Lübbeke |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty WOMAC Knee Joint Pain Knee kinematics Condyle Total knee Resection Body Mass Index Arthroplasty Gap balancing 03 medical and health sciences PROMs 0302 clinical medicine Patient satisfaction Gait (human) Osteoarthritis Medicine Humans Orthopedics and Sports Medicine Patient Reported Outcome Measures Arthroplasty Replacement Knee Gait Aged 030222 orthopedics ddc:617 business.industry 030229 sport sciences Middle Aged Biomechanical Phenomena Treatment Outcome Patient Satisfaction Gait analysis Physical therapy Surgery Female business Gait Analysis Body mass index Resection technique |
| Zdroj: | The Journal of Knee Surgery (2019) |
| ISSN: | 1538-8506 |
| Popis: | Mechanical alignment in total knee arthroplasty (TKA) can be achieved using dependent bone cuts. The hypothesis is that patients have a better balanced TKA, as a result. The aim of this study was to determine if this technique is superior to an independent bone cut technique in terms of gait parameters, patient-reported outcome measures (PROMs), and satisfaction assessed before surgery and at 1-year follow-up. A total of 58 patients were evaluated before and 1 year following TKA, using the Press Fit Condylar (PFC) Sigma posterior stabilizer (PS) design; 39 (70 ± 8 years; 27 women) with independent bone cuts and 19 (71 ± 7 years; 12 women) with dependent bone cuts using the Specialist TRAM. Gait was evaluated with a three-dimensional motion analysis system for spatiotemporal and kinematics parameters. Pain and functional levels were assessed using the Western Ontario and McMaster Universities arthritis index (WOMAC); general health was assessed by the short form (SF)-12. Global satisfaction, as well as patient satisfaction, related to pain and functional levels were assessed using a five-point Likert's scale. No significant difference was found between both groups in terms of age, body mass index, pain, and functional levels at baseline. At 1-year follow-up, despite an overall improvement in gait, WOMAC, SF-12 physical score and pain, none of the patients showed gait parameters comparable to a healthy control group. No surgical technique effect was observed on gait, clinical outcomes, and satisfaction level. While observing an overall improvement at 1-year follow-up, we did not find any significant difference between the two surgical techniques in terms of gait parameters, patients' outcomes, and satisfaction. |
| Databáze: | OpenAIRE |
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