Abstract:
PURPOSES:Post arthroplasty gait analysis has up till now been performed on subjects walking slowly on flat ground rather than challenging them at faster speeds or walking uphill. We therefore asked: (1) Is there a measurable difference in the performance of hip resurfacing arthroplasty (HRA) and total hip arthroplasty (THA) limbs at patients' self-determined fastest walking speeds and steepest inclines? and (2) Is there a relationship between the observed differences between the gait of HRA and THA implanted limbs and patient walking speeds and inclines. METHODS:In an ethically approved study we recruited patients with bilateral hip arthroplasties: one HRA and one THA. Nine subjects were assessed using an instrumented treadmill at a range of speeds and inclines by a blinded observer. The ground reaction forces of subjects were recorded and an age, sex and BMI matched control group was used for comparison. RESULTS:Increasing walking speed correlated strongly with between leg differences in weight acceptance (r = 0.9, p = 0.000) and push-off force (r = 0.79, p = 0.002). HRA implanted limbs accepted significantly more weight at top walking speeds (1208 N ± 320 versus 1279 N ± 370, p = 0.026) and pushed off with greater force when walking uphill (818 N ± 163 versus 855 ± 166, p = 0.012). HRA limbs more closely approximated to the gait of the normal control group. CONCLUSIONS:Arthroplasty implants do have an impact on the gait characteristics of patients. Differences in gait are more likely to be evident when assessment is made at fast speeds and walking uphill. This study suggests that HRA may enable a more normal gait.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Aqil A,Drabu R,Bergmann JH,Masjedi M,Manning V,Andrews B,Muirhead-Allwood SK,Cobb JPdoi
10.1007/s00264-013-1819-3subject
Has Abstractpub_date
2013-05-01 00:00:00pages
795-801issue
5eissn
0341-2695issn
1432-5195journal_volume
37pub_type
临床试验,杂志文章abstract::We conducted a prospective study of the clinical and radiographic variables related to the survival of 114 cementless resurfacing double-cup hip replacements (RHR) with a mean follow-up of 9 (range: 1--16) years. Three patients died, and 22 were unavailable for the final review in 2003. Sixty-one RHRs had to be revise...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0652-8
更新日期:2005-08-01 00:00:00
abstract::We reviewed a series of consecutive total hip replacements with cemented femoral components. Modern cementing techniques were followed in all cases, but two different medullary plugs were used-one was polyethylene and the other bioabsorbable gelatin. Cement mantle quality and plug migration were assessed by three diff...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-003-0506-1
更新日期:2004-02-01 00:00:00
abstract:PURPOSE:To evaluate the effects of rotator cuff tear (RCT) and its severity on shoulder proprioception. METHODS:We studied 132 consecutive patients (67 M-65 F; mean age ± SD, 66.03 ± 9.04; range, 43-78) who underwent arthroscopic rotator cuff repair. Tear size was determined intra-operatively. The control group includ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4150-1
更新日期:2019-01-01 00:00:00
abstract::Total medial meniscectomy was carried out on 30 mature rabbits; subsequent regeneration of the meniscus and degenerative joint changes were observed. Out of 30 knees, 22 had regenerated menisci and 10 of these had not developed gross degenerative changes after 6 months. Collagen fibres were arranged irregularly in the...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050158
更新日期:1997-01-01 00:00:00
abstract:PURPOSE:To compare the radiological and clinical outcomes of interlocking nail (ILN) and locking plate fixation (LCP) for humeral shaft fractures. METHODS:A total of 63 patients with displaced humeral shaft fractures between October 2014 and January 2017 were evaluated prospectively. They were divided randomly into tw...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04696-6
更新日期:2020-10-01 00:00:00
abstract::Human immunodeficiency virus (HIV) infection has radically changed African orthopaedic practice within a decade. In Lusaka, a third of adults are infected, but most have no physical signs of the disease. Early experience showed that closed fractures healed normally, the risk of sepsis during osteosynthesis was increas...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050074
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:The rotator cuff concept refers to the four scapulohumeral muscles that stabilize and rotate the humerus relative to the scapula. To date, the first description of the rotator cuff remained unidentified. METHOD:In light of the 500th birthday of Andreas Vesalius (1515-1564) we searched his 1543 masterwork "Fabr...
journal_title:International orthopaedics
pub_type: 古典文章,历史文章,杂志文章
doi:10.1007/s00264-015-2823-6
更新日期:2015-12-01 00:00:00
abstract:PURPOSE:To investigate the effects of genetic factors on idiopathic scoliosis (IS) and genetic modes through genetic epidemiological survey on IS in Chongqing City, China, and to determine whether SH3GL1, GADD45B, and FGF22 in the chromosome 19p13.3 are the pathogenic genes of IS through genetic sequence analysis. MET...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1419-z
更新日期:2012-06-01 00:00:00
abstract::Chondromyxoid fibroma of the scapula occurring in a 23 year old woman is of interest because of its unusual site and the extensive invasion of the soft tissues. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180217
更新日期:1992-06-01 00:00:00
abstract:PURPOSE:It is an established fact that post-operative (p.o.) soft-tissue swelling and lymphoedema after total knee arthroplasty (TKA) have a major influence on the p.o. early functional outcome. Kinesio taping has a proven clinical effect in increasing lymph drainage. Despite the decades of experience gained and the as...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3295-z
更新日期:2017-02-01 00:00:00
abstract::The original publication of this paper contain an error for the first name and last name of the second author have been mixed up as "Wenliang, Z.". ...
journal_title:International orthopaedics
pub_type: 杂志文章,已发布勘误
doi:10.1007/s00264-018-3948-1
更新日期:2018-07-01 00:00:00
abstract::A seven-year-old girl, whose right knee gave way, was found to have anterolateral instability of the joint associated with congenital aplasia of the anterior cruciate ligament. Instability was present in the final 30 degrees of extension, and has been controlled by a brace which prevented this movement. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00271452
更新日期:1987-01-01 00:00:00
abstract::Twenty children with grade IV supracondylar fractures of the humerus had an open reduction 11 to 17 days after injury. The delay was due to swelling and blisters. Most patients recovered a useful range of movement and there were no complications. A posterior approach with V-Y plasty of the triceps makes it easy to ali...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00192291
更新日期:1991-01-01 00:00:00
abstract:PURPOSE:The management of calcaneal fractures remains challenging and often controversial. Open reduction and internal fixation with a lateral plate has been established as a standard therapy for displaced articular fractures. However, accurate subtalar joint reduction, while mandatory, is difficult to achieve, require...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1249-z
更新日期:2011-07-01 00:00:00
abstract::A description is given of an unusual case of a 13 year old girl who showed complete regression of neurogenically induced heterotopic ossification following recovery from her head injury. The case report indicates that heterotopic ossification is not necessarily permanent following neurological disturbance, but may be ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00267736
更新日期:1984-01-01 00:00:00
abstract::Total hip arthroplasty (THA) is one of the most successful operations that can restore function and relieve pain. Although a majority of the patients achieve significant pain relief after THA, there are a number of patients that develop chronic pain for unknown reasons. A literature search was performed looking for ch...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-012-1711-6
更新日期:2013-01-01 00:00:00
abstract::This study investigated the relationship of bone porosity and bone-cement interface shear strength. One hundred forty-six samples were taken from the distal metaphysis of 20 bovine femora. After cementation, the shear strength of the bone-cement interface was tested. According to the porosity, the samples were divided...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0558-3
更新日期:2009-06-01 00:00:00
abstract:PURPOSE:The aim of the present study was to evaluate functional and quality of life outcomes after transosseous equivalent (TOE) double row suture technique for massive rotator cuff (RTC) tear repair using validated subjective and objective measures. This technique has shown promising preliminary results in RTC repair;...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2720-z
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:To investigate the clinical effect of modified Judet quadricepsplasty (MJ) combined with patella traction designed by ourselves in the treatment of knee joint rigidity after a femoral fracture. METHODS:We retrospectively reviewed the clinical data of 21 patients with stiff knee joint after a femoral fractur...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04823-3
更新日期:2020-09-24 00:00:00
abstract:PURPOSE:Coracoclavicular joint (CCJ) is a rare anomalous joint occasionally found between the coracoid process of scapula and the conoid tubercle of clavicle. The articulation has been extensively studied by means of anatomical, osteological and radiological investigations. Most cases are discovered incidentally, with ...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-011-1309-4
更新日期:2011-12-01 00:00:00
abstract:PURPOSE:Degenerative disc disease involves sequential events that lead to the loss of cells, a decrease in disc matrix production, disc dehydration, and alteration of its biomechanical properties. The aim of this study was to determine whether cryoinjury of the nucleus pulposus performed through endplate perforation co...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3971-2
更新日期:2018-09-01 00:00:00
abstract:PURPOSE:Stage II posterior tibial tendon dysfunction (PTTD) can be treated by flexor digitorum longus (FDL) tendon transfer and medial displacement calcaneal osteotomy (MDCO). Numerous authors have studied the clinical and radiographic results of this procedure. However, little is known about the kinematic changes. The...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2071-6
更新日期:2013-09-01 00:00:00
abstract:PURPOSE:Total knee arthroplasty (TKA) as a treatment for end-stage osteoarthritis of the knee shows good results in terms of patient satisfaction. For the assessment of outcome and revision rate after total joint arthroplasty, there are two major data sources: clinical studies and national arthroplasty registers. The p...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00264-011-1255-1
更新日期:2012-01-01 00:00:00
abstract:PURPOSE:Although there are various new scaffold-based techniques for cartilage regeneration it remains unclear up to which defect size they can be used. The present study reports of a cell-free collagen type I gel matrix for the treatment of large cartilage defects of the knee after a two-year follow-up. METHODS:Twent...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2695-9
更新日期:2015-12-01 00:00:00
abstract:PURPOSE:We investigated if patient-reported outcomes (PROMs) one year after total hip replacement (THR) can predict the risk of re-operation using data from the Swedish Hip Arthroplasty Register. METHODS:A total of 75,899 patients with THR due to osteoarthritis operated in 2002-2014 were included. We used Kaplan-Meier...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3711-z
更新日期:2018-02-01 00:00:00
abstract::In this study, 22 women patients with adult idiopathic scoliosis treated surgically with Cotrel-Dubousset instrumentation (CDI) or Texas Scottish Rite Hospital instrumentation (TSRHI) were followed up for 56.2+/-4.0 months. The overall immediate and final corrections were respectively 21.5+/-40 (58%) and 26.6+/-2.90 (...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-002-0346-4
更新日期:2002-01-01 00:00:00
abstract::The expectations of both the patient and surgeon have been greatly revised in the last 10 years with the introduction of pedicle screws (PS) in spinal surgery. In this study, we have retrospectively evaluated and compared the results of PS instrumentation and the Hybrid System (HS), the latter consists of pedicle scre...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0359-0
更新日期:2008-08-01 00:00:00
abstract:PURPOSE:Controversy still surrounds the optimal treatment for patients with displaced intra-articular calcaneal fractures (DIACF). An up-to-date meta-analysis was performed to evaluate clinical effectiveness of surgical treatment for DIACF compared with nonsurgical treatment. METHODS:We systematically searched four el...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00264-012-1563-0
更新日期:2012-08-01 00:00:00
abstract::Two matched groups of 28 patients each, with femoral neck fractures treated by primary internal fixation or by secondary total hip replacement after a complication of primary treatment, were evaluated and compared five years or more after primary pin fixation or secondary total hip replacement. The Nottingham Health P...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00186868
更新日期:1991-01-01 00:00:00
abstract::Computer-assisted surgery (CAS) in total knee arthroplasty (TKA) could be useful in reducing the overall blood loss. A prospective randomised study was performed with two groups of 50 patients each of whom were treated for knee arthritis. Patients of group A were treated by a conventional standard procedure, while for...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-008-0651-7
更新日期:2009-12-01 00:00:00