Biomechanical changes and recovery of gait function after total hip arthroplasty for osteoarthritis: a systematic review and meta-analysis

Osteoarthritis and Cartilage
J S BahlD Thewlis

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
Oct 1, 2019·The Journal of Bone and Joint Surgery. American Volume·K C Geoffrey NgPaul E Beaulé
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
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
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 28, 2021·The Journal of Bone and Joint Surgery. American Volume·Jasvir S BahlDominic Thewlis
May 25, 2021·Frontiers in Sports and Active Living·Julia RehAlfred O Effenberg
Jul 31, 2021·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Paul BiggsJosefine E Naili
Aug 28, 2021·International Journal of Environmental Research and Public Health·Bernhard GuggenbergerHelmut Ritschl
Sep 16, 2021·Science Advances·Bradley T EstesB Duncan X Lascelles

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