ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2019
Stiff knee gait may increase risk of second total knee arthroplasty.
Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 44 citations in OpenAlex.
- Movement Pattern Biofeedback Training After Total Knee Arthroplasty: A Randomized Controlled Trial.Arthritis care & research · 2025Trial
- The role of a cryocompression device following total knee arthroplasty to assist in recovery: a randomised controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Trial
- Biomechanical markers associations with pain, symptoms, and disability compared to radiographic severity in knee osteoarthritis patients: a secondary analysis from a cluster randomized controlled trial.BMC musculoskeletal disorders · 2022Trial
- Inter-Session Repeatability of a Smartphone-Based Markerless System to Measure Segment Length and Lower-Limb Kinematics in Patients With End-Stage Knee Osteoarthritis.Orthopaedic surgery · 2026Article
- Comparison of Joint Kinematics and Spatiotemporal Gait Parameters Between Markerless and Marker-Based Motion Capture in a Large Knee Osteoarthritis Cohort.Annals of biomedical engineering · 2026Article
- Is Concomitant Contralateral Arthroscopic Meniscectomy Effective in Patients Undergoing Unilateral Total Knee Replacement for Knee Osteoarthritis?Journal of clinical medicine · 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
- Factors associated with stiff knee gait in patients with knee osteoarthritis.Journal of orthopaedics · 2025Article
- Feasibility of Stationary Cycling with Pedal Force Visual Feedback Post-Total Knee Arthroplasty: Implications for Inter-Limb Deficits in Knee Joint Biomechanics.Bioengineering (Basel, Switzerland) · 2024Article
- Article
- Effect of total knee arthroplasty on contralateral knee: A prospective comparative gait analysis of non-operated legs in the Indian population.Journal of clinical orthopaedics and trauma · 2023Article
- Culture-expanded mesenchymal stromal cell therapy: does it work in knee osteoarthritis? A pathway to clinical success.Cellular & molecular immunology · 2023Review
- Inertial-Sensor-Based Monitoring of Sample Entropy and Peak Frequency Changes in Treadmill Walking during Recovery after Total Knee Arthroplasty.Sensors (Basel, Switzerland) · 2023Article
- Concurrent Force Feedback on Load Symmetry in Total Knee Arthroplasty Patients.International journal of sports physical therapy · 2023Article
- The validity and reliability of the OneStep smartphone application under various gait conditions in healthy adults with feasibility in clinical practice.Journal of orthopaedic surgery and research · 2022Article
- Knee biomechanics and contralateral knee osteoarthritis progression after total knee arthroplasty.Gait & posture · 2022Article
- Gait mechanics are influenced by quadriceps strength, age, and sex after total knee arthroplasty.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2021Article
- The extensor efficiency of unicompartmental, bicompartmental, and total knee arthroplasty.Bone & joint research · 2021Article
- Step descent strategy is altered bilaterally despite unilateral muscle strength impairment after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Movement pattern biofeedback training after total knee arthroplasty: Randomized clinical trial protocol.Contemporary clinical trials · 2020Article
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
Osteoarthritis (OA) progression in the contralateral limb after unilateral total knee arthroplasty (TKA) may be related to altered and asymmetrical movement patterns that overload the contralateral joints. The purpose of this study was to determine if biomechanical factors after unilateral TKA were associated with future contralateral TKA. One hundred and fifty-eight individuals who underwent unilateral TKA completed three dimensional motion analysis 6-24 months after unilateral TKA (baseline). Subjects were re-contacted for follow-up (mean 5.89 years after baseline testing) to determine if they had undergone a contralateral TKA. Biomechanical variables from gait at baseline were compared between those who did and did not undergo contralateral TKA at follow-up using one-way ANOVAs. Odds ratios were calculated for variables found to be significant in the ANOVA models. Individuals who underwent contralateral TKA had less knee flexion excursion (10.5° vs. 12.1°; p = 0.032) and less knee extension excursion (8.2° vs. 9.6°; p = 0.035) at baseline on the operated side during walking. Individuals who underwent contralateral TKA also had less knee flexion excursion on the contralateral limb at baseline (11.9° vs. 14.0°; p = 0.017). For every additional degree of knee flexion excursion on the contralateral knee at baseline, there was a 9.1% reduction in risk of future contralateral TKA. Individuals who walked with stiffer gait patterns were more likely to undergo future contralateral TKA. Clinical Significance: Altered movement patterns after surgery may increase the risk for contralateral TKA. Knee excursion is an important metric to include in outcome studies and may serve as a target of rehabilitation after TKA. © 2018 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 37:397-402, 2019.
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