Postural balance during quiet standing in patients with total hip arthroplasty with large diameter femoral head and surface replacement arthroplasty.

Abstract:

OBJECTIVE:To compare postural balance between patients who have had either a large diameter head total hip arthroplasty or surface replacement arthroplasty. DESIGN:Observational study. SETTING:Outpatient biomechanical laboratory. PARTICIPANTS:Two groups of 14 patients with surface replacement or large diameter head total hip arthroplasties recruited from a larger randomized study and 14 control subjects. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Postural balance during quiet standing in dual and one-leg stance (operated leg), hip abductor muscle strength, clinical outcomes, and radiographic analyses were compared between groups. RESULTS:Compared to the control group, patients in both groups showed smaller center of pressure displacement amplitude in the medial-lateral direction in dual stance. Patients with large diameter head total hip arthroplasty showed lower hip abductor muscle strength compared to control subjects. There was statistical difference between the 2 patient groups in biomechanical reconstruction of the hip. Despite these differences, there was no significant difference in the ability to complete the one-leg stance task between the 3 groups. CONCLUSIONS:The muscular strength in the operated limb could be mainly responsible for the lower center of pressure displacement amplitude compared to control subjects. However, the ability to complete the one-leg stance demonstrates that patients do not fear to load the hip prosthesis when needed. The large diameter femoral head may be a major mechanical factor contributing to these results.

journal_name

Arch Phys Med Rehabil

authors

Nantel J,Termoz N,Ganapathi M,Vendittoli PA,Lavigne M,Prince F

doi

10.1016/j.apmr.2009.01.033

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

1607-12

issue

9

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(09)00335-9

journal_volume

90

pub_type

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