SynthesisBMC musculoskeletal disorders2012
The effects of knee arthroplasty on walking speed: a meta-analysis.
Synthesis in BMC musculoskeletal disorders, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evaluation of the efficacy after Total Knee Arthroplasty by Gait analysis in patients with Knee Osteoarthritis: a meta-analysis.Journal of orthopaedic surgery and research · 2024Pooled it
- Trial
- Trial
- Clinical evaluation of a mobile sensor-based gait analysis method for outcome measurement after knee arthroplasty.Sensors (Basel, Switzerland) · 2014Trial
- Effect of short-term early postoperative gait-training using a lightweight hip-assist device on walking-speed recovery after total knee arthroplasty: a pilot study.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2026Article
- Changes in knee pain and walking speed following primary, unilateral total knee arthroplasty and their association: A systematic review and meta-analysis.Osteoarthritis and cartilage open · 2025Review
- Wearable Sensor Assessment of Gait Characteristics in Individuals Awaiting Total Knee Arthroplasty: A Cross-Sectional, Observational Study.Journal of functional morphology and kinesiology · 2025Article
- Impact of personality traits on activities of daily living in patient-reported outcomes one and six months after total knee arthroplasty: a cohort study.BMC musculoskeletal disorders · 2025Article
- Introducing a specified on-line multimodal prehabilitation approach for total knee replacement surgery candidates using data from the COVID-19 pandemic: An exploratory field-based, pre-post, mixed methods implementation pilot study.Journal of evaluation in clinical practice · 2025Article
- Article
- A Retrospective Study on the Feasibility of Using Low-burden Patient-reported Pain Scores to Track Recovery and Outcomes After Total Joint Replacement.Arthroplasty today · 2024Article
- A preliminary study on analysis of lower limb energy during walking in the patients with knee replacement.Heliyon · 2024Article
- Article
- Development of a Gait Feature-Based Model for Classifying Cognitive Disorders Using a Single Wearable Inertial Sensor.Neurology · 2023Article
- Differences in gait kinetics and kinematics between patients with rotating hinge knee and cruciate-retaining prostheses: a cross-sectional study.Journal of physical therapy science · 2022Article
- Knee Arthroplasty and Gait: Effect on Level Walking-An Overview.Indian journal of orthopaedics · 2021Review
- Characteristics of young and lower functioning patients following total knee arthroplasty: a retrospective study.BMC musculoskeletal disorders · 2019Observational
- Training with Hybrid Assistive Limb for walking function after total knee arthroplasty.Journal of orthopaedic surgery and research · 2018Article
- Slow gait speed after bilateral total knee arthroplasty is associated with suboptimal improvement of knee biomechanics.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Influence of the moving fluoroscope on gait patterns.PloS one · 2018Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with knee osteoarthritis patients have problems with walking, and tend to walk slower. An important aim of knee arthroplasty is functional recovery, which should include a post-operative increase in walking speed. Still, there are several problems with measuring walking speed in groups of knee osteoarthritis patients. Nevertheless, test-retest reliability of walking speed measurements is high, and when the same investigators monitor the same subjects, it should be possible to assess the walking speed effects of knee arthroplasty. The present study reports a meta-analysis of these effects.
methodsA total of 16 independent pre-post arthroplasty comparisons of walking speed were identified through MEDLINE, Web of Science, and PEDro, in 12 papers, involving 419 patients.
resultsFor 0.5-5 months post-operatively, heterogeneity was too large to obtain a valid estimate of the overall effect-size. For 6-12 and 13-60 months post-operatively, heterogeneity was absent, low, or moderate (depending on estimated pre-post correlations). During these periods, subjects walked on average 0.8 standard-deviations faster than pre-operatively, which is a large effect. Meta-regression analysis revealed significant effects of time and time squared, suggesting initial improvement followed by decline.
conclusionThis meta-analysis revealed a large effect of arthroplasty on walking speed 6-60 months post-operatively. For the first 0.5-5 months, heterogeneity of effect-sizes precluded a valid estimate of short-term effects. Hence, patients may expect a considerable improvement of their walking speed, which, however, may take several months to occur. Meta-regression analysis suggested a small decline from 13 months post-operatively onwards.
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