Downhill walking gait pattern discriminates between types of knee arthroplasty: improved physiological knee functionality in UKA versus TKA
| LEADER | caa a22 4500 | ||
|---|---|---|---|
| 001 | 605456224 | ||
| 003 | CHVBK | ||
| 005 | 20210128100216.0 | ||
| 007 | cr unu---uuuuu | ||
| 008 | 210128e20150601xx s 000 0 eng | ||
| 024 | 7 | 0 | |a 10.1007/s00167-014-3240-x |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-014-3240-x | ||
| 245 | 0 | 0 | |a Downhill walking gait pattern discriminates between types of knee arthroplasty: improved physiological knee functionality in UKA versus TKA |h [Elektronische Daten] |c [Anatole Wiik, Adeel Aqil, Sara Tankard, Andrew Amis, Justin Cobb] |
| 520 | 3 | |a Purpose: To determine whether downhill walking gait pattern discriminates between different types of knee arthroplasty. Methods: Nineteen unicompartmental knee arthroplasty (UKA) and fourteen total knee arthroplasty (TKA) patients who were well matched demographically and with high Oxford knee scores (OKS) for their operation type were evaluated at a minimum 1year after their operation with downhill gait analysis. Nineteen healthy young subjects were used as controls. Downhill gait analysis was carried out on an instrumented treadmill that was ramped at the rear to produce a declination of 7°. All subjects after a period of habituation were tested for preferred and top downhill walking speed with associated ground reaction and temporospatial measurements. Results: The UKA group had higher mean OKS (44.8±2.9 vs 41.9±4.7, p=0.03) as predicted. The UKA group walked downhill 15% faster than the TKA group (1.75±0.14 vs 1.52±0.13m/s, p<0.0001) despite having the same cadence (134.9±8.0 vs 133.9±9.6steps/min). This 15% difference in speed appeared largely due to a 15% increase in stride length (173±14 vs 150±17cm, p=0.0007) and normal weight acceptance, both of which were similar to the controls. Conclusion: Using an instrumented treadmill to test a commonly performed task, stride length when walking downhill highlights the functional differences between arthroplasty groups. Near normal restoration of physiological gait pattern was found in unicompartmentals as compared to total knee replacements. Level of evidence: Retrospective comparative study, Level III. | |
| 540 | |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 | ||
| 690 | 7 | |a Arthroplasty |2 nationallicence | |
| 690 | 7 | |a Unicompartmental |2 nationallicence | |
| 690 | 7 | |a Knee |2 nationallicence | |
| 690 | 7 | |a Gait |2 nationallicence | |
| 690 | 7 | |a Treadmill |2 nationallicence | |
| 690 | 7 | |a Biomechanics |2 nationallicence | |
| 700 | 1 | |a Wiik |D Anatole |u MSK Lab, Department of Surgery and Cancer, Charing Cross Hospital, Imperial College London, Fulham Palace Road, W6 8RF, London, UK |4 aut | |
| 700 | 1 | |a Aqil |D Adeel |u MSK Lab, Department of Surgery and Cancer, Charing Cross Hospital, Imperial College London, Fulham Palace Road, W6 8RF, London, UK |4 aut | |
| 700 | 1 | |a Tankard |D Sara |u MSK Lab, Department of Surgery and Cancer, Charing Cross Hospital, Imperial College London, Fulham Palace Road, W6 8RF, London, UK |4 aut | |
| 700 | 1 | |a Amis |D Andrew |u MSK Lab, Department of Surgery and Cancer, Charing Cross Hospital, Imperial College London, Fulham Palace Road, W6 8RF, London, UK |4 aut | |
| 700 | 1 | |a Cobb |D Justin |u MSK Lab, Department of Surgery and Cancer, Charing Cross Hospital, Imperial College London, Fulham Palace Road, W6 8RF, London, UK |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/6(2015-06-01), 1748-1755 |x 0942-2056 |q 23:6<1748 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-3240-x |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-3240-x |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Wiik |D Anatole |u MSK Lab, Department of Surgery and Cancer, Charing Cross Hospital, Imperial College London, Fulham Palace Road, W6 8RF, London, UK |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Aqil |D Adeel |u MSK Lab, Department of Surgery and Cancer, Charing Cross Hospital, Imperial College London, Fulham Palace Road, W6 8RF, London, UK |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Tankard |D Sara |u MSK Lab, Department of Surgery and Cancer, Charing Cross Hospital, Imperial College London, Fulham Palace Road, W6 8RF, London, UK |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Amis |D Andrew |u MSK Lab, Department of Surgery and Cancer, Charing Cross Hospital, Imperial College London, Fulham Palace Road, W6 8RF, London, UK |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Cobb |D Justin |u MSK Lab, Department of Surgery and Cancer, Charing Cross Hospital, Imperial College London, Fulham Palace Road, W6 8RF, London, UK |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/6(2015-06-01), 1748-1755 |x 0942-2056 |q 23:6<1748 |1 2015 |2 23 |o 167 | ||