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Short-term Recovery of Balance Control after Total Hip Arthroplasty

  • Original Article
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Clinical Orthopaedics and Related Research

Abstract

Hip osteoarthritis leads to chronic pain and deteriorated joint function, which affect weightbearing and balance during gait. THA effectively restores hip function but it is not known whether THA restores balance during gait. We hypothesized patients would have greater frontal plane and smaller sagittal plane center of mass-center of pressure inclination angles preoperatively compared with control subjects, and THA would improve these inclination angles by 16 weeks postsurgery. Compared with control subjects, we observed greater frontal plane inclination angles and smaller sagittal plane angles preoperatively, indicating gait imbalance. These inclination angles were improved postoperatively, providing better balance control. Despite improvement, patients differed in frontal and sagittal plane inclination angles compared with control subjects. This suggests residual deficits in dynamic balance control in patients undergoing THA before and up to 4 months after surgery.

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Acknowledgments

We thank Crystal Mills for assisting in the recruitment of patients and Robin High for consulting with us on the statistical analysis.

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Authors and Affiliations

  1. Motion Analysis Laboratory, Department of Human Physiology, 1240 University of Oregon, Eugene, OR, 97403, USA

    Vipul Lugade MS, Virginia Klausmeier MS & Li-Shan Chou PhD

  2. Slocum Center for Orthopedics & Sports Medicine, Eugene, OR, USA

    Brian Jewett MD & Dennis Collis MD

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  1. Vipul Lugade MS
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  2. Virginia Klausmeier MS
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  4. Dennis Collis MD
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  5. Li-Shan Chou PhD
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Correspondence to Li-Shan Chou PhD.

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Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

Each author certifies that his or her institution has approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

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Lugade, V., Klausmeier, V., Jewett, B. et al. Short-term Recovery of Balance Control after Total Hip Arthroplasty. Clin Orthop Relat Res 466, 3051–3058 (2008). https://doi.org/10.1007/s11999-008-0488-9

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  • DOI: https://doi.org/10.1007/s11999-008-0488-9

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