Kinematic Gait Analysis After Primary Total Hip Replacement: A Systematic Review
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REVIEW ARTICLE
Kinematic Gait Analysis After Primary Total Hip Replacement: A Systematic Review Gait After Total Hip Replacement: A Systematic Review Luis Mendiolagoitia1 · Miguel Ángel Rodríguez2 · Irene Crespo2,3 · Miguel del Valle1 · Hugo Olmedillas2,4 Received: 18 February 2020 / Accepted: 28 March 2020 © Indian Orthopaedics Association 2020
Abstract Total hip replacement (THR) is a surgical procedure indicated for patients affected by severe hip osteoarthritis. Although this technique has proved to be effective in relieving pain and restoring function, gait limitations may persist following this procedure. The objective of this systematic review was to evaluate gait kinematics after THR and compare the results with those of the pre-operative state and with healthy control individuals. PubMed/MEDLINE, Embase, Web of Science, CENTRAL and Scopus databases were searched until December 2019. Methodological quality and internal validity score of each study were assessed using the PEDro and the Newcastle–Ottawa scales. In all, ten studies met our inclusion criteria. Following THR, statistically significant improvements were seen in dynamic hip and knee range of motion of both the affected and the contralateral limb, single-limb support time symmetry, step length, stride length, walking speed and gait pattern. However, deficits were observed in all the previous parameters, as well as in hip adduction angle in comparison with healthy subjects. In conclusion, gait patterns improve after THR in comparison with the pre-operative state, although there are deficits relative to healthy individuals. Keywords Total hip replacement · Kinematics · Gait analysis · Arthroplasty · Replacement · Hip · Gait analysis · Prostheses and implants
Introduction Total hip replacement (THR) is a surgical procedure indicated for patients affected by severe hip osteoarthritis [1] and over 80% of subjects report satisfaction after this operation Electronic supplementary material The online version of this article (doi:https://doi.org/10.1007/s43465-020-00101-x) contains supplementary material, which is available to authorized users. * Hugo Olmedillas [email protected] 1
Department of Cellular Morphology and Biology, Universidad de Oviedo, Oviedo, Spain
2
Department of Functional Biology, Universidad de Oviedo, Oviedo, Spain
3
Institute of Biomedicine, Universidad de León, León, Spain
4
Health Research Institute of the Principality of Asturias (ISPA), Oviedo, Spain
[2]. Even though THR has proved effective in relieving pain, restoring function and improving quality of life [3], functional limitations may persist after the surgery [4]. In this regard, patients report deficits in some activities such as walking and climbing stairs [5] and more than 25% are not able to go back to participating in sports they previously practiced [6]. Studies that examined gait in subjects with a THR have reported residual hip impairments related, among other matters, to a loss of terminal hip extension during late stance and reduced f
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