Trial reportBMC musculoskeletal disorders2019
Are changes in radiological leg alignment and femoral parameters after total hip replacement responsible for joint loading during gait?
Trial report in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06369948 (Quality Of Recovery After Pericapsular Nerve Group), which is not on this map. Cited by 16 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.
Quality Of Recovery After Pericapsular Nerve Group (PENG) Block For Hip Hemiarthroplasty Under Spinal Anesthesia: A Prospective, Double-Blinded, Randomized Controlled Trial
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- In vivo biomechanics after total hip arthroplasty: a state-of-the-art systematic review.EFORT open reviews · 2026Pooled it
- Influence of implantation of a total hip endoprosthesis on the ipsilateral leg alignment: the effect of sex and dysplasia of the hip.Archives of orthopaedic and trauma surgery · 2023Trial
- Geometrical restoration during total hip arthroplasty is related to change in gait pattern - a study based on computed tomography and three-dimensional gait analysis.BMC musculoskeletal disorders · 2021Trial
- Distribution and changes in lower limb alignment using the coronal plane alignment of the knee classification system before and after total hip arthroplasty.International orthopaedics · 2026Article
- Analysis of Gait Biomechanics in Patients After Total Hip and Knee Arthroplasty Using Low-Cost Sensors: An Observational Repeated-Measures Study.Sensors (Basel, Switzerland) · 2026Observational
- Explainable machine learning for orthopedic decision-making: predicting functional outcomes of total hip replacement from gait biomechanics.Arthritis research & therapy · 2025Article
- Does the Implantation of a Short-Stem Hip Prosthesis Change the Lower Limb Alignment?-Comparison of Two Modern Short-Stem Designs.Journal of clinical medicine · 2025Article
- Frontal Plane Knee Kinematics and Kinetics During Gait in Children and Youth with Achondroplasia-Correspondence with Static X-Ray Images and Relevance to Symptoms.Children (Basel, Switzerland) · 2025Article
- Effect of Stem Design and Positioning on the Leg Axis after Total Hip Arthroplasty: A Secondary Analysis.Journal of clinical medicine · 2024Article
- [An update on clinical gait analysis : Current developments and applications].Orthopadie (Heidelberg, Germany) · 2024Article
- Effect of Total Hip Arthroplasty on Ipsilateral Lower Limb Alignment and Knee Joint Space Width: Minimum 5-Year Follow-up.Journal of Korean medical science · 2023Article
- Lower limb joint loading in patients with unilateral hip osteoarthritis during bipedal stance and the effect of total hip replacement.Frontiers in bioengineering and biotechnology · 2023Article
- Effects of hip osteoarthritis on lower body joint kinematics during locomotion tasks: a systematic review and meta-analysis.Frontiers in sports and active living · 2023Review
- Reconstruction of the anatomy of the hip in total hip arthroplasty with two different kinds of stems.BMC musculoskeletal disorders · 2022Article
- Identification of Patients with Similar Gait Compensating Strategies Due to Unilateral Hip Osteoarthritis and the Effect of Total Hip Replacement: A Secondary Analysis.Journal of clinical medicine · 2021Article
- Knee Load Distribution in Hip Osteoarthritis Patients After Total Hip Replacement.Frontiers in bioengineering and biotechnology · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGait kinematics after total hip replacement only partly explain the differences in the joint moments in the frontal plane between hip osteoarthritis patients after hip replacement and healthy controls. The goal of this study was to determine if total hip replacement surgery affects radiological leg alignment (Hip-Knee-Shaft-Angle, femoral offset, Neck-Shaft-Angle and varus/valgus alignment) and which of these parameters can explain the joint moments, additionally to the gait kinematics.
methods22 unilateral hip osteoarthritis patients who were scheduled for total hip replacement were included in the study. Preoperatively and 1 year postoperatively all patients had biplanar radiographic examinations and 3D gait analysis.
resultsThe operated leg showed significantly (P < 0.05) more varus (1.1°) as well as a larger femoral offset (+ 8 mm) and a larger Hip-Knee-Shaft-Angle (+ 1.3°) after total hip replacement; however no significant differences in the joint moments in the frontal plane compared to healthy controls were found. The hip moment (first half of stance) and the knee moments (first and second half of stance) were mostly determined by the varus/valgus alignment (29% and respectively 36% and 35%). The combination with a kinematic parameter (knee range of motion, foot progression angle) increased the predictive value for the knee moments.
conclusionIn our patient group the joint moments after total hip replacement did not differ from healthy controls, whereas radiological leg alignment parameters changed significantly after the total hip replacement. A combination of these radiological leg parameters, especially the varus alignment, and the deviating kinematics explain the joint moments in the frontal plane during gait after total hip replacement surgery. For surgeons it is important not to create too much of a structural varus alignment by implanting the new hip joint as varus alignment can increase the knee adduction moment and the risk for osteoarthritis of the medial knee compartment.
trial registrationThis study was retrospectively registered with DRKS (German Clinical Trials Register) under the number DRKS00015053. Registered 1st of August 2018.
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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.