ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Deficits in functional performance and gait one year after total knee arthroplasty despite improved self-reported function.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Relationship between outcome scores and knee laxity following total knee arthroplasty: a systematic review.Acta orthopaedica · 2019Pooled it
- Exploring feasibility of health-related quality of life assessments and pain diaries in patients undergoing prehabilitation before total knee arthroplasty: a pilot study.BMC musculoskeletal disorders · 2025Trial
- Movement Pattern Biofeedback Training After Total Knee Arthroplasty: A Randomized Controlled Trial.Arthritis care & research · 2025Trial
- Number of conditioning trials, but not stimulus intensity, influences operant conditioning of brain responses after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Trial
- Correlations between patient-perceived outcome and objectively-measured biomechanical change following Total Knee Replacement.Gait & posture · 2019Trial
- Trial
- Kinematics Limit the Potential to Capitalize on Available Muscle Strength During Sit-to-Stand for Patients Before and After Total Knee Arthroplasty.Annals of biomedical engineering · 2026Article
- Multidimensional Assessment of Recovery After Total Knee Arthroplasty in Clinical Practice: Critical Narrative Review.JMIR perioperative medicine · 2026Review
- 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
- Is hand grip strength a reliable indicator of clinical total knee arthroplasty outcomes?Journal of clinical orthopaedics and trauma · 2025Article
- Preoperative and Post-Rehabilitation Predictors of Gait Biomechanics Six Months After Total Knee Arthroplasty.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025Article
- Wearable Sensor Assessment of Gait Characteristics in Individuals Awaiting Total Knee Arthroplasty: A Cross-Sectional, Observational Study.Journal of functional morphology and kinesiology · 2025Article
- The Effects of Biomechanical Loading on the Tibial Insert After Primary Total Knee Arthroplasty: A Systematic Review.Journal of clinical medicine · 2025Review
- Effects of total knee arthroplasty on symptoms, function and activity over 5 years in knee osteoarthritis: A propensity-score matched study.Journal of experimental orthopaedics · 2025Article
- Self-assessed performance-based function test versus patient-reported outcome measures for knee and hip osteoarthritis.BMC sports science, medicine & rehabilitation · 2024Article
- Gait, Quality of Life, and Knee Function in Advanced Knee Osteoarthritis: A Single-Center, Prospective, Observational Study.Journal of clinical medicine · 2024Article
- Deficient gait function despite effect index of the Western Ontario and McMaster university osteoarthritis index score considered cured one year after bilateral total knee arthroplasty.BMC musculoskeletal disorders · 2024Article
- Sagittal plane knee kinematics can be measured during activities of daily living following total knee arthroplasty with two IMU.PloS one · 2024Article
- Early- to Mid-Term Review of a Prospective, Multi-Center, International, Outcomes Study of an Anatomically Designed Implant with Posterior-Stabilized Bearing in Total Knee Arthroplasty.Medicina (Kaunas, Lithuania) · 2023Article
- Physical function and activity, pain, and health status in adults with myelomeningocele after orthotic management from childhood: a descriptive study.BMC musculoskeletal disorders · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe current literature lacks sufficient information about improvements in gait patterns and function after total knee arthroplasty (TKA) and whether patients return to full function. This study evaluated change in gait, performance-based function, and self-reported function 1 year after TKA in patients with symptomatic knee osteoarthritis and how these aspects interrelate.
methodsA total of 28 patients (64 % female) with knee osteoarthritis, with a mean age of 66 (±7) years, and 25 age- and gender-matched controls participated in this prospective cohort study. Three-dimensional gait analysis generated comprehensive measures of kinematic and kinetic gait deviations, respectively. Participants completed the Five Times Sit-to-Stand (5STS) test, and the self-reported questionnaire Knee Injury and Osteoarthritis Outcome Score (KOOS), at baseline prior to surgery and 1 year after TKA.
resultsKinetic gait deviations of both the operated and non-operated limb persisted in patients with knee osteoarthritis at 1 year after surgery, while kinematic gait patterns were comparable to controls. Performance on the 5STS and KOOS scores in patients with knee osteoarthritis improved significantly 1 year after surgery (effect size 0.5-1.5), but did not reach the level of controls. Ten patients with knee osteoarthritis (36 %) exceeded the minimally detectable change on the 5STS.
conclusionMeasures of overall gait patterns and the 5STS revealed improvements in function 1 year after TKA, but were not restored to the level of healthy controls. Based on change in 5STS performance, we identified patients with substantial improvements in gait patterns. Self-reported measures of function could not detect differences between patients improving in 5STS performance and those who did not. These findings highlight the use of the 5STS in clinical practice since improvement on this test seems to follow the reduction in gait pattern deviations. LEVEL OF EVIDENCE: II.
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