Change of gait in patients with lateral osteoarthritis of the knee after mobile-bearing unicompartmental knee arthroplasty

Verfasser / Beitragende:
[J. Seeger, J. Schikschneit, C. Schuld, R. Rupp, S. Jäger, H. Schmitt, G. Maier, M. Clarius]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/7(2015-07-01), 2049-2054
Format:
Artikel (online)
ID: 605457301
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024 7 0 |a 10.1007/s00167-014-2944-2  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2944-2 
245 0 0 |a Change of gait in patients with lateral osteoarthritis of the knee after mobile-bearing unicompartmental knee arthroplasty  |h [Elektronische Daten]  |c [J. Seeger, J. Schikschneit, C. Schuld, R. Rupp, S. Jäger, H. Schmitt, G. Maier, M. Clarius] 
520 3 |a Purpose: Patients with lateral osteoarthritis of the knee suffer not only from pain but also impaired gait and limited mobility. Common treatment options are total knee replacement and lateral unicompartmental knee arthroplasty (UKA). The domed lateral mobile-bearing Oxford Uni is a new treatment option for patients with isolated osteoarthritis of the lateral compartment of the knee joint. We used instrumented gait analysis and clinical scores to study patients before and after lateral UKA. Methods: Nineteen patients suffering from lateral osteoarthritis underwent implantation of a mobile-bearing lateral UKA. They were examined in a gait analysis before the operation and after an average follow-up time of 7months. Gait analysis was performed on a treadmill with six infrared cameras to identify gait characteristics (e.g. velocity, stride time, stride length, knee abduction or hip adduction). Results: Mean velocity changed from 0.58 to 0.73m/s. Significant advancements were also found in knee abduction and hip adduction. Time and length of strides improved significantly as well as the clinical scores American Knee Society Score, Oxford-12, FFb-H-OA and Devane Score. Conclusion: Patients with lateral osteoarthritis of the knee showed an impaired gait with an increased knee abduction and hip adduction angle. Implantation of a lateral mobile UKA can restore normal axis of the leg and improve gait and function of the knee. Instrumented gait analysis is a suitable measuring instrument to quantify and qualify the post-operative change of gait. Level of evidence: II. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Unicompartmental knee  |2 nationallicence 
690 7 |a Lateral bearing  |2 nationallicence 
690 7 |a Osteoarthritis  |2 nationallicence 
690 7 |a Gait analysis  |2 nationallicence 
690 7 |a Gait pattern  |2 nationallicence 
700 1 |a Seeger  |D J.  |u Department of Orthopaedics and Orthopaedic Surgery, University Hospital Giessen and Marburg (UKGM), Klinikstraße 33, 35392, Giessen, Germany  |4 aut 
700 1 |a Schikschneit  |D J.  |u Department of Orthopaedics, Traumatology and Paraplegiology, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany  |4 aut 
700 1 |a Schuld  |D C.  |u Spinal Cord Injury Center, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany  |4 aut 
700 1 |a Rupp  |D R.  |u Spinal Cord Injury Center, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany  |4 aut 
700 1 |a Jäger  |D S.  |u Department of Orthopaedics, Traumatology and Paraplegiology, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany  |4 aut 
700 1 |a Schmitt  |D H.  |u ATOS Klinik Heidelberg, Bismarckstraße 9-15, 69115, Heidelberg, Germany  |4 aut 
700 1 |a Maier  |D G.  |u Department of Orthopaedics and Orthopaedic Surgery, University Hospital Giessen and Marburg (UKGM), Klinikstraße 33, 35392, Giessen, Germany  |4 aut 
700 1 |a Clarius  |D M.  |u Department of Orthopaedic and Trauma Surgery, Vulpius Klinik GmbH, Vulpiusstraße 29, 74906, Bad Rappenau, Germany  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/7(2015-07-01), 2049-2054  |x 0942-2056  |q 23:7<2049  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2944-2  |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/s00167-014-2944-2  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Seeger  |D J.  |u Department of Orthopaedics and Orthopaedic Surgery, University Hospital Giessen and Marburg (UKGM), Klinikstraße 33, 35392, Giessen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Schikschneit  |D J.  |u Department of Orthopaedics, Traumatology and Paraplegiology, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Schuld  |D C.  |u Spinal Cord Injury Center, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rupp  |D R.  |u Spinal Cord Injury Center, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jäger  |D S.  |u Department of Orthopaedics, Traumatology and Paraplegiology, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Schmitt  |D H.  |u ATOS Klinik Heidelberg, Bismarckstraße 9-15, 69115, Heidelberg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Maier  |D G.  |u Department of Orthopaedics and Orthopaedic Surgery, University Hospital Giessen and Marburg (UKGM), Klinikstraße 33, 35392, Giessen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Clarius  |D M.  |u Department of Orthopaedic and Trauma Surgery, Vulpius Klinik GmbH, Vulpiusstraße 29, 74906, Bad Rappenau, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/7(2015-07-01), 2049-2054  |x 0942-2056  |q 23:7<2049  |1 2015  |2 23  |o 167