Abstract
To determine the change in walking gait biomechanics after total hip arthroplasty (THA) for osteoarthritis (OA) compared to the pre-operative gait status, and to compare the recovery of gait following THA with healthy individuals. Systematic review with meta-analysis of studies investigating changes in gait biomechanics after THA compared to (1) preoperative levels and (2) healthy individuals. Data were pooled at commonly reported time points and standardised mean differences (SMDs) were calculated in meta-analyses for spatiotemporal, kinematic and kinetic parameters. Seventy-four studies with a total of 2,477 patients were included. At 6 weeks postoperative, increases were evident for walking speed (SMD: 0.32, 95% confidence intervals (CI) 0.14, 0.50), stride length (SMD: 0.40, 95% CI 0.19, 0.61), step length (SMD: 0.41, 95% CI 0.23, 0.59), and transverse plane hip range of motion (ROM) (SMD: 0.36, 95% CI 0.05, 0.67) compared to pre-operative gait. Sagittal, coronal and transverse hip ROM was significantly increased at 3 months (SMDs: 0.50 to 1.07). At 12 months postoperative, patients demonstrated deficits compared with healthy individuals for walking speed (SMD: -0.59, 95% CI -1.08 to -0.11), stride length (SMD: -1.27, 95% C...Continue Reading
Citations
May 3, 2019·American Journal of Physical Medicine & Rehabilitation·Osamu WadaKiyonori Mizuno
May 6, 2019·International Orthopaedics·Ting WangWei Huang
Oct 1, 2019·The Journal of Bone and Joint Surgery. American Volume·K C Geoffrey NgPaul E Beaulé
Nov 21, 2019·Sensors·Wolfgang TeuflGabriele Bleser
May 14, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Jasvir S BahlDominic Thewlis
Jan 25, 2020·American Journal of Physical Medicine & Rehabilitation·Siri B WintherVigdis S Husby
Sep 29, 2018·Der Orthopäde·Haohan ZhaiYulong Wang
Apr 2, 2019·The Bone & Joint Journal·D ThewlisL B Solomon
Dec 5, 2019·The Journal of Bone and Joint Surgery. American Volume·K C Geoffrey NgPaul E Beaulé
Aug 14, 2020·Journal of Orthopaedic Surgery and Research·Xiangjun HuTsung-Yuan Tsai
Feb 9, 2020·BMC Musculoskeletal Disorders·Manaka ShibuyaAtsuhiko Matsunaga
Jul 25, 2019·Clinical Orthopaedics and Related Research·Jonathan H Rylander
Nov 3, 2020·Indian Journal of Orthopaedics·Luis MendiolagoitiaHugo Olmedillas
Apr 4, 2021·Sensors·Jan MalusDaniel Jandacka
Apr 22, 2021·BMC Musculoskeletal Disorders·A-C EsbjörnssonG Flivik
May 1, 2021·Bioengineering·Micaela PortaGiuseppe Marongiu
Apr 20, 2021·Frontiers in Bioengineering and Biotechnology·Xiangjun HuTsung-Yuan Tsai
May 4, 2021·Journal of Back and Musculoskeletal Rehabilitation·Francesco NegriniJacopo Antonino Vitale
May 12, 2021·Scientific Reports·Jianlin ZuoJianlin Xiao
May 28, 2021·The Journal of Bone and Joint Surgery. American Volume·Jasvir S BahlDominic Thewlis
Jun 3, 2021·Journal of Clinical Medicine·Eric RöhnerKlaus Sander
May 25, 2021·Frontiers in Sports and Active Living·Julia RehAlfred O Effenberg
Jul 16, 2021·Autoimmunity·Xuefeng YuanChengla Yi
Jul 31, 2021·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Paul BiggsJosefine E Naili
Aug 8, 2021·Clinical Biomechanics·Jesse C ChristensenJennifer E Stevens-Lapsley
Aug 28, 2021·International Journal of Environmental Research and Public Health·Bernhard GuggenbergerHelmut Ritschl
Aug 29, 2021·Sensors·Corina NüeschAnnegret Mündermann
Sep 11, 2021·PloS One·Xavier GasparuttoStéphane Armand
Sep 16, 2021·Science Advances·Bradley T EstesB Duncan X Lascelles
Feb 12, 2020·Clinical Biomechanics·Paul-André DeleuLaurence Chèze
Jun 27, 2019··Alfan AmriAbdul Hamid