Factors affecting hip range of motion in surface replacement arthroplasty

Vendittoli, Pascal‐André; Ganapathi, M.; Nuño, Natalia; Plamondon, D.; Lavigne, Martin

doi:10.1016/j.clinbiomech.2007.07.007

Cited by 26 publications

(12 citation statements)

References 21 publications

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“…This “stiff gait pattern” may be due to the persistence of a learned “chronic osteoarthritis” gait pattern which does not resolve despite treatment of the affected hip joint. More specifically, reductions in the ROM could be due to residual muscle weakness, unrecovered soft tissue damage, or due to a physical barrier to further movement . As illustrated in Figure , the knees of individuals with a THR do not move fully into extension during mid to late stance, ultimately requiring additional muscular support, given their flexed position.…”

Section: Discussionmentioning

confidence: 99%

Abnormal loading of the hip and knee joints in unilateral hip osteoarthritis persists two years after total hip replacement

Stief

Schmidt

Drongelen³

et al. 2018

Journal Orthopaedic Research

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A total hip replacement (THR) is a common and routine procedure to reduce pain and restore normal activity. Gait analysis can provide insights into functional characteristics and dynamic joint loading situation not identifiable by clinical examination or static radiographic measures. The present prospective longitudinal study tested whether 2 years after surgery a THR would restore dynamic loading of the knee and hip joints in the frontal plane to normal. Instrumented gait analysis was performed shortly before surgery and approximately 2 years after THR on 15 unilateral hip osteoarthritis (OA) patients. 15 asymptomatic matched individuals were recruited as healthy controls. Results showed that abnormal joint loading persisted 2 years after THR. The 2nd external knee adduction moment in terminal stance in the affected (-34%, p = 0.002, d = 1.22) and non-affected limb (-25%, p = 0.035, d = 0.81) was lower compared to controls and thus indicated a shift in the knee joint load distribution from medial to lateral. A correlation analysis revealed that a smaller hip range of motion explained 46% of 2nd knee adduction moment alterations. In contrast, the 2nd external hip adduction moment in terminal stance was postoperatively higher in the affected (+22%, p = 0.007, d = 1.04) and non-affected limb (+22%, p = 0.005, d = 1.05). Here, 51% of 2nd hip adduction moment alterations can be explained with a greater hip adduction angle. Patients with a THR may therefore be at higher risk for abnormal joint loading and thus for the development of OA in other joints of the lower extremities. © 2018 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res.

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Section: Discussionmentioning

confidence: 99%

Abnormal loading of the hip and knee joints in unilateral hip osteoarthritis persists two years after total hip replacement

Stief

Schmidt

Drongelen³

et al. 2018

Journal Orthopaedic Research

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“…This reduction in stride length has been shown to be predominantly due to reduced hip sagittal plane range of motion [12,14], although Beaulieu also reported reduced peak hip extension [14]. Reductions in the hip range of motion and the corresponding reductions in stride length reported in the literature could be due to pain [26], muscle weakness [13,27], un-recovered soft tissue damage [13] or a physical barrier to further movement [28].…”

Section: Gait Parametersmentioning

confidence: 94%

Post-operative gait analysis in total hip replacement patients—A review of current literature and meta-analysis

et al. 2012

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“…15 Whenever feasible, a bridge of bone/osteophyte 3 mm in size was left intentionally beyond the anterior edge of the component to prevent impingement of the psoas tendon. 16 The femoral component was placed in valgus orientation to the native neck-shaft angle. Resurfacing was performed only in the presence of intact bone at the head-neck junction to at least half the height of the profile cut for the implant of the intended size (Fig.…”

Section: Methodsmentioning

confidence: 99%

Resurfacing arthroplasty of the hip for avascular necrosis of the femoral head

Bose

Baruah

2010

The Journal of Bone and Joint Surgery. British volume

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We performed 96 Birmingham resurfacing arthroplasties of the hip in 71 consecutive patients with avascular necrosis of the femoral head. A modified neck-capsule-preserving approach was used which is described in detail. The University of California, Los Angeles outcome score, the radiological parameters and survival rates were assessed. The mean follow-up was for 5.4 years (4.0 to 8.1). All the patients remained active with a mean University of California, Los Angeles activity score of 6.86 (6 to 9). Three hips failed, giving a cumulative survival rate of 95.4%. With failure of the femoral component as the endpoint, the cumulative survival rate was 98.0%. We also describe the combined abduction-valgus angle of the bearing couple, which is the sum of the inclination angle of the acetabular component and the stem-shaft angle, as an index of the optimum positioning of the components in the coronal plane. Using a modified surgical technique, it is possible to preserve the femoral head in avascular necrosis by performing hip resurfacing in patients with good results.

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Factors affecting hip range of motion in surface replacement arthroplasty

Cited by 26 publications

References 21 publications

Abnormal loading of the hip and knee joints in unilateral hip osteoarthritis persists two years after total hip replacement

Abnormal loading of the hip and knee joints in unilateral hip osteoarthritis persists two years after total hip replacement

Post-operative gait analysis in total hip replacement patients—A review of current literature and meta-analysis

Resurfacing arthroplasty of the hip for avascular necrosis of the femoral head

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