Change of gait in patients with lateral osteoarthritis of the knee after mobile-bearing unicompartmental knee arthroplasty
Gespeichert in:
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)
Online Zugang:
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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 |
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| 908 | |D 1 |a research-article |2 jats | ||
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| 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 | ||