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Clinical study of arthroplasties for osteoarthritic hip by quantitative gait analysis: Comparison of total hip arthroplasty and bipolar endoprosthetic arthroplasty

  • Original Articles
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Journal of Orthopaedic Science

Abstract

The present study was undertaken to serially observe the gait of patients after hip arthroplasty, using quantitative gait analysis, and to compare the gait in patients after total hip arthroplasty (THA) with the gait in patients after bipolar endoprosthetic arthroplasty (BEA). The subjects were 53 women with unilateral osteoarthritis of the hip. Thirty-one (mean age, 59.5 years) of them underwent THA and 22 (mean age, 58.0 years) underwent BEA. The stance time and characteristic parameters calculated from the vertical component of the floor reaction force (FRF) were analyzed via the use of a FRF plate. The stance time, which indirectly represents the walking speed, decreased for 1 year after THA and for 3 years after BEA. The decrease in this parameter was greater on the unaffected side than on the affected side. The deceleration effect and the weighing-off effect are useful indicators for the observation of gait recovery. Significant differences in these indicators between the unaffected and affected sides were seen for 1 year after THA and for 3 years after BEA. These findings indicate that the cadence and balance of the gait recovers earlier after THA than after BEA.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Faculty of Medicine, Tottori University, 36-1 Nishi-machi, 683, Yonago, Japan

    Yasuyuki Isobe

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  1. Yasuyuki Isobe
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Isobe, Y. Clinical study of arthroplasties for osteoarthritic hip by quantitative gait analysis: Comparison of total hip arthroplasty and bipolar endoprosthetic arthroplasty. J Orthop Sci 1, 34–43 (1996). https://doi.org/10.1007/BF01234113

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  • DOI: https://doi.org/10.1007/BF01234113

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