Kinematic gait parameters changes in patients after total knee arthroplasty : Comparison between cruciate-retaining and posterior-substituting design

• Autorzy: Hajduk G. , Nowak K. , Sobota G. , Kusz D. , Kopeć K. , Błaszczak E. , Cieliński Ł. , Bacik B.

Identyfikatory

DOI

10.5277/ABB-00405-2015-03

• Języki publikacji: EN

Abstrakty

EN

Purpose: The patients expect optimal knee function after Total Knee Arthroplasty. It is necessary to apply appropriate surgical technique and supervised physical therapy. The optimal management of posterior cruciate ligament remains controversial. Both implant designs, i.e., cruciate retaining and posterior substituting, allow the orthopedic surgeon to achieve excellent clinical outcomes, as measured by commonly used questionnaires. Such methods of assessment may poorly reflect the functional status of patients. Therefore, three-dimensional gait analysis is recommended to evaluate the outcomes of surgical intervention. This study sought to determine differences in kinematic gait parameters and Knee Society Score between cruciate-retaining and posterior-substituting patients. Methods:23 individuals after cruciate-retaining total knee arthroplasty and 19 individuals after posterior-substituting total knee arthroplasty were subjected to gait analysis using three-dimensional motion capture system BTS Smart DX 7000. In addition, gait was assessed in 21 patients with knee osteoarthritis and in 30 healthy individuals. Results: The study did not reveal differences between cruciate-retaining and posterior-substituting groups, both in terms of Knee Society Score and kinematic gait parameters. There were also no differences in kinematic gait parameters between patients from the knee osteoarthritis group and total knee arthroplasty groups. The analyzed parameters in all of the groups differed significantly from those found in healthy individuals. Conclusions: Surgical technique and implant design do not affect values of kinematic gait parameters evaluated under natural walking speed. Several months after surgery the patients still demonstrated alterations in gait pattern, similar to those recorded in patients with knee osteoarthritis.

Słowa kluczowe

EN

total knee arthroplasty; gait analysis; cruciate retaining; posterior substituting

PL

staw kolanowy; endoprotezoplastyka; analiza lokomocji

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2016
• Tom: Vol. 18, no. 3
• Strony: 137--142
• Opis fizyczny: Bibliogr. 25 poz., tab., wykr.

Twórcy

autor

Hajduk G.

• Department of Orthopaedics and Traumatology, Medical University of Silesia, Katowice, Poland

autor

Nowak K.

• Department of Theory and Practice of Sport, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland

autor

Sobota G.

• Department of Human Motor Behavior, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland

autor

Kusz D.

• Department of Orthopaedics and Traumatology, Medical University of Silesia, Katowice, Poland

autor

Kopeć K.

• Department of Orthopaedics and Traumatology, Medical University of Silesia, Katowice, Poland

autor

Błaszczak E.

• Department of Biophysics, Medical University of Silesia, Katowice, Poland

autor

Cieliński Ł.

• Department of Orthopaedics and Traumatology, Medical University of Silesia, Katowice, Poland

autor

Bacik B.

• Department of Human Motor Behavior, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland

Bibliografia

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Uwagi

PL

Opracowanie ze środków MNiSW w ramach umowy 812/P-DUN/2016 na działalność upowszechniającą naukę.