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Gait and Stair Function in Total and Resurfacing Hip Arthroplasty: A Pilot Study

  • Symposium: Advanced Techniques for Rehabilitation after Total Hip and Knee Arthroplasty
  • Published:
Clinical Orthopaedics and Related Research®

Abstract

Standard total hip arthroplasty (THA) is the established surgical treatment for patients older than 65 years with progressive osteoarthritis but survivorship curves wane in patients younger than 50. Resurfacing hip arthroplasty (RHA) is an alternative for younger, active patients reportedly providing superior range of motion. Quantitative investigation of functional recovery following arthroplasty may elucidate limitations that aid in device selection. Although limited long-term kinematic data are available, the early rate of recovery and gait compensations are not well described. This information may aid in refining rehabilitation protocols based on limitations specific to the implant. We presumed hip motion and forces for subjects receiving RHA are more similar to age-matched controls during physically demanding tasks, such as stair negotiation, at early time points than those for THA. In a pilot study, we quantified walking and stair negotiation preoperatively and 3 months postoperatively for seven patients with RHA (mean age, 49 years), seven patients with standard THA (mean age, 52 years), and seven age-matched control subjects (mean age, 56 years). Although both treatment groups demonstrated trends toward functional recovery, the RHA group had greater improvements in hip extension and abduction moment indicating typical loading of the hip. Further investigation is needed to determine if differences persist long term or are clinically meaningful.

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Acknowledgments

We thank the staff and physicians at The SHRI-CORE Orthopedic Research Laboratories who contributed to this work as well as the patients who donated their time for this study.

Author information

Authors and Affiliations

  1. The Center for Orthopedic Research and Education (The CORE Institute), 14420 West Meeker Boulevard, Suite 300, Sun City West, AZ, 85375, USA

    M. Wade Shrader MD, Marc C. Jacofsky MA & David J. Jacofsky MD

  2. Banner-Sun Health Research Institute, Sun City West, AZ, USA

    Manoshi Bhowmik-Stoker MS & Marc C. Jacofsky MA

  3. Harrington Department of Bioengineering, Arizona State University, Tempe, AZ, USA

    Manoshi Bhowmik-Stoker MS

Authors
  1. M. Wade Shrader MD
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  2. Manoshi Bhowmik-Stoker MS
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  3. Marc C. Jacofsky MA
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  4. David J. Jacofsky MD
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Corresponding author

Correspondence to M. Wade Shrader MD.

Additional information

One or more of the authors (MWS, MBS, MCJ, DJJ) have received funding from Smith and Nephew.

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. This study received IRB approval from the Sun Health Institutional Review Board and all participants provided signatures upon the approved Informed Consent and Health Insurance Portability and Accountability Act forms.

This work was performed at The Sun Health Research Institute and Center for Orthopedic Research and Education.

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Shrader, M.W., Bhowmik-Stoker, M., Jacofsky, M.C. et al. Gait and Stair Function in Total and Resurfacing Hip Arthroplasty: A Pilot Study. Clin Orthop Relat Res 467, 1476–1484 (2009). https://doi.org/10.1007/s11999-009-0791-0

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  • DOI: https://doi.org/10.1007/s11999-009-0791-0

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