ArticleInternational orthopaedics2019
Three dimensional gait analysis in patients with symptomatic component mal-rotation after total knee arthroplasty.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Meta-analysis of the quantitative assessment of lower extremity motor function in elderly individuals based on objective detection.Journal of neuroengineering and rehabilitation · 2024Pooled it
- The Temporal-Spatial Parameters of Gait After Total Knee Arthroplasty.Journal of clinical medicine · 2025Article
- Femur rotational alignment in total knee arthroplasty: Delphi consensus statements from European knee society (EKS).Archives of orthopaedic and trauma surgery · 2025Article
- Different tibial rotational axes can be applied in combination according to the tibial tuberosity-posterior cruciate ligament distance in total knee arthroplasty.BMC musculoskeletal disorders · 2022Article
- Is Static Alignment a Good Predictor of Dynamic Alignment after Total Knee Arthroplasty?Healthcare (Basel, Switzerland) · 2022Article
- Finite element analysis of the tibial component alignment in a transverse plane in total knee arthroplasty.Journal of applied biomedicine · 2021Article
- Contribution of hip and knee muscles to lateral knee stability during gait.Journal of physical therapy science · 2020Article
- Gait Analysis after Total Knee Arthroplasty Assisted by 3D-Printed Personalized Guide.BioMed research international · 2020Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePurpose of the present cohort study was the determination of lower body function and rotation in patients with symptomatic component mal-rotation after total knee arthroplasty using instrumented 3D gait analysis.
methodsA consecutive series of 12 patients (61.3 years ± 11.4 years) were included suffering under remaining pain or limited range of motion at least six months after total knee arthroplasty. A CT-scan according to the protocol of Berger et al. and instrumented 3D gait analysis were carried out including clinical examination, videotaping, and kinematic analysis using a Plug-in Gait model. Outcome variables were temporospatial parameters as well as kinematics in sagittal and transversal plane. Data for reference group were collected retrospectively and matched by age and gender.
resultsTemporospatial parameters of the study group showed decreased velocity, cadence, and step length as well as increased step time. Single limb support was reduced for the affected limb. In sagittal plane, maximum knee flexion during swing phase was reduced for the replaced knee joint. In transverse plane, there was hardly any difference between affected and non-affected limb. Compared to the reference group, both limbs show significant increased internal ankle rotation and external hip rotation. There were significant strong linear correlations between ankle rotation and hip rotation as well as ankle rotation and radiological tibial mal-rotation.
conclusionsPatients with symptomatic component mal-rotation after total knee arthroplasty showed typically functional deficits. The affected and non-affected limb showed significant increased internal ankle rotation and external hip rotation, while only the affected, replaced knee showed reduced internal knee rotation. Identification of rotational abnormalities of hip and ankle joints seems to be mandatory in TKA to identify the patient group with external hip rotation, internal ankle rotation, and an elevated risk for symptomatic rotational TKA component mal-alignment.
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