scholarly journals Gait Analysis after Unilateral Total Hip Replacement Surgery

2018 ◽  
Vol 21 (4) ◽  
pp. 458-466
Author(s):  
Sadiq J. Hamandi ◽  
Marwa Azzawi ◽  
Waleed Abdulwahed
Keyword(s):  
Pain Relief ◽  
Gait Analysis ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Reaction Force ◽  
Harris Hip Score ◽  
Gait Dynamics ◽  
Total Hip ◽  
Normal Ranges ◽  
Gait Parameters

Total hip replacement (THR) is an elective surgical procedure with the primary indication being pain relief. The aim of this study is to analyze gait dynamics for patients after they underwent a unilateral THR surgery and compare it with normal parameters. To investigate the gait dynamics a gait analysis was performed on five patients after they underwent a unilateral THR surgery; only two of them were examined before the surgery. The gait analysis was performed using a digital video camera with two force plates. Kinematics data were obtained from 2D trajectories of seven passive markers using SkillSpector software. MATLAB software has been used for inverse dynamics computation. General gait parameters, Harris Hip Score, joints’ angles, forces, moments and powers were obtained during gait cycle. It was found that the average of improvement in Harris Hip Score (for four patients who were examined 1.5, 2.5, 3 and 9 months after surgery) is 61.8 points, which is an indication of pain relief. In the other hand, the general gait parameters were found slightly lower than normal after THR surgery. The average hip reaction force was found to be 2.988 N/BW, which is within normal range. Also, the average of maximum hip extension and maximum hip flexion angles were found to be 25.69 and -13.524 degree respectively, which both are within normal ranges. Furthermore, hip, knee and ankle moments and powers results showed some abnormality. Therefore as a conclusion, patient satisfaction and functional improvement are not related to general gait parameter. And it is not unusual that gait mechanics improvement would not reach normal after months of recovery. Also, the results of gait dynamics which are from the engineer’s perspective are compatible with Harris Hip Score, which is from the physician’s perspective, in quantifying surgical results and subsequent recovery progress.

Gait Analysis of Unilateral Total Hip Replacement: Quantitative Analysis of the Vertical Floor Reaction Force

1993 ◽  
pp. 95-103
Author(s):  
Makoto Okuno ◽  
Kichizo Yamamoto ◽  
Ryota Teshima ◽  
Tetsuya Otsuka ◽  
Noriyuki Takasu
Keyword(s):  
Quantitative Analysis ◽  
Gait Analysis ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Reaction Force ◽  
Total Hip ◽  
Floor Reaction Force

scholarly journals Uncemented versus cemented arthroplasty after metal-on-metal total hip replacement in patients with femoral neck fractures: a retrospective study

2021 ◽  
Vol 49 (5) ◽  
pp. 030006052110122
Author(s):  
Wenlu Liu ◽  
Huanyi Lin ◽  
Xianshang Zeng ◽  
Meiji Chen ◽  
Weiwei Tang ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Clinical Outcomes ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Femoral Neck Fractures ◽  
Harris Hip Score ◽  
Complication Rates ◽  
Total Hip ◽  
Metal On Metal

Objective To compare the clinical outcomes of primary metal-on-metal total hip replacement (MoM-TR) converted to uncemented total hip replacement (UTR) or cemented total hip replacement (CTR) in patients with femoral neck fractures (AO/OTA: 31B/C). Methods Patient data of 234 UTR or CTR revisions after primary MoM-TR failure from March 2007 to January 2018 were retrospectively identified. Clinical outcomes, including the Harris hip score (HHS) and key orthopaedic complications, were collected at 3, 6, and 12 months following conversion and every 12 months thereafter. Results The mean follow-up was 84.12 (67–100) months for UTR and 84.23 (66–101) months for CTR. At the last follow-up, the HHS was better in the CTR- than UTR-treated patients. Noteworthy dissimilarities were correspondingly detected in the key orthopaedic complication rates (16.1% for CTR vs. 47.4% for UTR). Statistically significant differences in specific orthopaedic complications were also detected in the re-revision rate (10.3% for UTR vs. 2.5% for CTR), prosthesis loosening rate (16.3% for UTR vs. 5.9% for CTR), and periprosthetic fracture rate (12.0% for UTR vs. 4.2% for CTR). Conclusion In the setting of revision of failed primary MoM-TR, CTR may demonstrate advantages over UTR in improving functional outcomes and reducing key orthopaedic complications.

Pre-operative planning and gait analysis of total hip replacement following hip fusion

2003 ◽  
Vol 70 (3) ◽  
pp. 215-221 ◽  
Author(s):  
M.G Benedetti ◽  
E Montanari ◽  
F Catani ◽  
G Vicenzi ◽  
A Leardini
Keyword(s):  
Gait Analysis ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
Operative Planning ◽  
Hip Fusion

SHALL IT BE BETTER, AS AN APPROACH FOR THR, POSTERIORLY OR LATERALLY; A CLINICO-FUNCTIONAL AND GAIT ANALYTICAL OUTCOME ANALYSIS, IN A PROSPECTIVE STUDY, IN THE SOUTH-INDIAN POPULATION.

2021 ◽  
pp. 71-75
Author(s):  
Arun Kumar C ◽  
Ganashree S ◽  
Arivoli S ◽  
Aswath C A ◽  
Rakesh Kumar B ◽  
...  
Keyword(s):  
Prospective Study ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Posterior Approach ◽  
Lateral Approach ◽  
Harris Hip Score ◽  
South Indian Population ◽  
Total Hip ◽  
South Indian

Introduction: Hip resurfacing arthroplasty (HRA) or Total hip replacement (THR), as it is popularly called, attempts to mollify these basic clinical problems, in patients with a hip arthritic problem, which may be of a sequela to age-related degeneration, osteonecrosis, systemic disorder like Rheumatoid arthritis (RA) or Ankylosing spondylosis (AS) or as a result of trauma and or an old infection. The basic pathology, is an unfavourable and abrading hip diarthrodial joint. The endeavour of the study was, to establish the efcacy of the Posterior vs Lateral approach for THA/THR, by studying their outcomes in primary THR. This prospective study was undertaken at Che Materials And Methods: ttinad Hospital and Research Institute (CARE), Kelambakkam, Chengalpattu district, Tamilnadu, In the Department of Orthopaedics from Jan 2017 to Dec 2020 (48 months). The Functional outcome of hip surgery was measured using the Harris Hip Score, Oxford hip score and the WOMAC. Rivermead visual gait analysis (RVGA) method was used post-operatively to assess the gait. The Biomechanical outcomes of Abductor Gait Component, were individually assessed by EMG studies. The Harris Hip Score, The Oxford Hip S Results: core and WOMAC score, when the lateral approach was compared to the posterior approach pre-op and post-op in the 12 months minimum follow-up period, the laterally approached group faired better. The VAS score was equivocal. The comprehensive RVGA assessment also showed marginally better results for the laterally approached group as was the case with the Trendelenburg test score. The EMG studies for the Gluteus Maximus, Medius and the lateral rotators of hip also favoured the outcomes for the laterally approach hips. The supremacy of the Lateral Approach, ove Conclusion: r Posterior Approach, cannot be adjudged in a short-term follow-up study. It is thus opined that the Lateral Approach may be statistically and data wise superior, but the patient satisfaction, which is a major factor, is almost the same in both the approach groups. The follow-up needs to be atleast for a decade for us to be able to come to any meaningful conclusion. With regards to surgery like the Total hip replacement, which have a longevity factor exceeding 10 years, studies have to be followed up for periods in excess of 10 years.

scholarly journals A study to assess functional outcome of cemented and uncemented total hip replacement in a tertiary care center

2019 ◽  
Vol 5 (5) ◽  
pp. 828
Author(s):  
Kunal Ajitkumar Shah ◽  
Mohan Madhav Desai
Keyword(s):  
Functional Outcome ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Cost Effective ◽  
Harris Hip Score ◽  
Total Hip ◽  
Vas Score ◽  
Group A ◽  
The Difference ◽  
Group B

<p class="abstract"><strong>Background:</strong> Total hip replacement (THR) is the most successful and cost effective treatment with aim of pain relief and functional rehabilitation for hip disorders. As the implant designs of THR have evolved over time, the functional outcome and survivorship has improved. Even after so many advancements, it remains unclear that which implants are better, uncemented or cemented. Hence, we took up this study to analyze which of the uncemented or cemented THR have better functional outcome.</p><p class="abstract"><strong>Methods:</strong> This was a longitudinal study conducted during 2014 to 2018. Hundred cases were randomized into groups of 50 each. All patients with age between 55-80 years in whom THR was indicated were included in the study. Uncemented THR was done in Group A and cemented THR was done in Group B. Patients were followed up at 12 weeks, 6 months, 12 months, and 3 years. At follow-up, functional examination in terms of visual analogue scale (VAS) score and Harris hip score (HHS) was done.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean age of patients in Group A (uncemented) and Group B (cemented) was 62.5 years and 60 years respectively. We found that the difference of VAS score and HHS between Group A and B was statistically significant at 12 weeks and 6 months. The difference of VAS and HHS scores between Group A and B at 12 months and 3 years was not significant.</p><p class="abstract"><strong>Conclusions:</strong> We conclude that cemented THR has better functional outcome at short term. They are cost effective option at age ≥55-60 years.</p>

scholarly journals Kinematic Gait Analysis After Primary Total Hip Replacement: A Systematic Review

2020 ◽  
Vol 54 (6) ◽  
pp. 767-775
Author(s):  
Luis Mendiolagoitia ◽  
Miguel Ángel Rodríguez ◽  
Irene Crespo ◽  
Miguel del Valle ◽  
Hugo Olmedillas
Keyword(s):  
Systematic Review ◽  
Gait Analysis ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
Kinematic Gait Analysis

scholarly journals Gait analysis and hip extensor function early post total hip replacement

2016 ◽  
Vol 13 (3) ◽  
pp. 171-176 ◽  
Author(s):  
Grainne Colgan ◽  
Mike Walsh ◽  
Damien Bennett ◽  
John Rice ◽  
Timothy O’Brien
Keyword(s):  
Gait Analysis ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip

scholarly journals Surgical management of avascular necrosis of femoral head in young adults treated with uncemented total hip replacement

2021 ◽  
Vol 7 (6) ◽  
pp. 1166
Author(s):  
Vijaya Bhaskar Reddy ◽  
N. Brahma Chary ◽  
Kacham Nikitha
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Avascular Necrosis ◽  
Total Hip Replacement ◽  
Hip Arthroplasty ◽  
Hip Replacement ◽  
Daily Activities ◽  
Harris Hip Score ◽  
Total Hip ◽  
Uncemented Total Hip Replacement

<p class="abstract"><strong>Background: </strong>Normal hip joint is subjected to many stresses during daily activities performed by an individual. Since it is one of the major weight bearing joints of the body, its normal function is necessary for daily activities. Avascular necrosis (AVN) of the femoral head is one of the common causes of painful hip in a young adult. Core decompression, fibular sturt graft can be considered in early stages, total hip arthroplasty in later stages of AVN of femoral head.</p><p class="abstract"><strong>Methods:</strong> This is a retrospective study of 30 patients following uncemented total hip replacement, who were operated between August 2017 and March 2020 at MNR medical college and hospital, Sangareddy. They were followed up for a minimum period of 1 year and evaluated using Harris hip scoring system. Harris hip score is designed specifically for measuring functional outcomes in hip arthroplasty.</p><p class="abstract"><strong>Results: </strong>There was a significant improvement in function as measured with the Harris hip score. The overall preoperative Harris hip score was 43, which remarkably improved to 89 postoperatively. The results observed, showed that all patients had good to excellent results, (Harris hip score ≥0) thus showing a good degree of pain relief, improvement in function and range of motion.</p><p class="abstract"><strong>Conclusions: </strong>Although the use of total hip arthroplasty in young patients will more likely necessitate future revision surgery, the consistent relief of pain and good functional results have made this procedure an attractive treatment choice for the debilitating arthritis resulting from osteonecrosis of the femoral head.  </p>

scholarly journals Comparison of short-term outcomes between minimal invasive superpath approach and conventional posterior approach in total hip arthroplasty: a randomized controlled trial

2021 ◽  
Vol 7 (3) ◽  
pp. 431
Author(s):  
Carlos B. Branco ◽  
Rita M. Sousa ◽  
Diogo Sousa ◽  
Joao Reis ◽  
Andre Guimaraes ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Posterior Approach ◽  
Harris Hip Score ◽  
Short Term ◽  
Total Hip ◽  
The Third ◽  
Posterior Group ◽  
Approach Group

<p><strong>Background:</strong> The objective of current study was to compare the short-term outcomes between a cohort of patients that undergone total hip replacement by a superpath technique at the beginning of the surgeon's learning curve, and a cohort of patients that undergone a total hip replacement by a conventional posterior approach.</p><p><strong>Methods:</strong> A cohort of 22 patients was prospectively and randomly selected for being part of a superpath approach group or a conventional posterior approach group. Clinical evaluation was performed in two primary end-points - the third post-operative day and the first month after surgery - using physical exams as the “20 meter walking test” and the “30 seconds sit to stand test”, the Harris hip score, the visual analogue scale for pain. Radiological evaluation was also performed.</p><p><strong>Results:</strong> 11 patients underwent the superpath approach and 11 patients underwent the conventional posterior approach. The surgery time was 78.2 min in the superpath group and 59.4 min in the posterior group. The average hospital stay was 3.4 days in the superpath group and 5.3 days in the posterior group. When assessing pain improvement through VAS, it was found that both on the third postoperative day and on the first postoperative month, patients in the superpath group showed greater improvement. There were no differences in functional results with statistical significance. No complications were seen in both groups.</p><p><strong>Conclusions:</strong> Despite the longer surgical time seen with the superpath approach, it managed to significantly decrease the length of hospital stay and obtained better results in improving pain in the short term.</p>

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