Evidence map›Paper›PMID 23443980›Full record

Trial reportInternational orthopaedics2013

The gait of patients with one resurfacing and one replacement hip: a single blinded controlled study.

Adeel Aqil, Roshan Drabu, Jeroen H Bergmann, Milad Masjedi, Victoria Manning, Barry Andrews, Sarah K Muirhead-Allwood, Justin P Cobb

Registry-linked trialAbstract readClinical TrialComparative Study
In one paragraph

Trial report in International orthopaedics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02484781 (Gait Analyses After Resurfacing Hip Arthroplasty Versus Metal on Metal Total Hip), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT02484781 nacompletednot on this mapstarted 2015, after this paper: background citation

Gait Analyses After Resurfacing Hip Arthroplasty Versus Metal on Metal Total Hip

TypeinterventionalSponsorRijnstate HospitalRan2015 to 2015Enrolled34ConditionsDifficulty Walking, Gait, StumblingArmsGait analysis on a trendmill
3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Trial
  2. The loading patterns of a short femoral stem in total hip arthroplasty: gait analysis at increasing walking speeds and inclines.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2018
    Trial
  3. Article
  4. Biomechanical Assessment of Functional Tasks Beyond Level Walking Following Total Hip Arthroplasty: A Scoping Review.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. The unicompartmental knee is the preferred side in individuals with both a unicompartmental and total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Wear testing of a canine hip resurfacing implant that uses highly cross-linked polyethylene.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2018
    Article
  16. Long-term results of Birmingham hip resurfacing arthroplasty in Asian patients.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2018
    Article
  17. Review
  18. Resurfacing head size and femoral fracture: Are registry conclusions on head size justified?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2015
    Article
  19. Article
  20. The future role of metal-on-metal hip resurfacing.International orthopaedics · 2015
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Adeel AqilDepartment of Surgery and Cancer, Charing Cross Hospital, Imperial College London, Fulham Palace Road, London, W6 8RF, UK. a.aqil@imperial.ac.uk
Roshan Drabu
Jeroen H Bergmann
Milad Masjedi
Victoria Manning
Barry Andrews
Sarah K Muirhead-Allwood
Justin P Cobb

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposesPost arthroplasty gait analysis has up till now been performed on subjects walking slowly on flat ground rather than challenging them at faster speeds or walking uphill. We therefore asked: (1) Is there a measurable difference in the performance of hip resurfacing arthroplasty (HRA) and total hip arthroplasty (THA) limbs at patients' self-determined fastest walking speeds and steepest inclines? and (2) Is there a relationship between the observed differences between the gait of HRA and THA implanted limbs and patient walking speeds and inclines.

methodsIn an ethically approved study we recruited patients with bilateral hip arthroplasties: one HRA and one THA. Nine subjects were assessed using an instrumented treadmill at a range of speeds and inclines by a blinded observer. The ground reaction forces of subjects were recorded and an age, sex and BMI matched control group was used for comparison.

resultsIncreasing walking speed correlated strongly with between leg differences in weight acceptance (r = 0.9, p = 0.000) and push-off force (r = 0.79, p = 0.002). HRA implanted limbs accepted significantly more weight at top walking speeds (1208 N ± 320 versus 1279 N ± 370, p = 0.026) and pushed off with greater force when walking uphill (818 N ± 163 versus 855 ± 166, p = 0.012). HRA limbs more closely approximated to the gait of the normal control group.

conclusionsArthroplasty implants do have an impact on the gait characteristics of patients. Differences in gait are more likely to be evident when assessment is made at fast speeds and walking uphill. This study suggests that HRA may enable a more normal gait.

Indexed as

Activities of Daily LivingAgedAged, 80 and overArthroplasty, Replacement, HipBiomechanical PhenomenaExercise TestFemaleGaitHip JointHumansMaleMiddle AgedSingle-Blind MethodTreatment OutcomeWalkingWeight-Bearing

Identifiers

PMID23443980
PMCPMC3631476

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.