Trial reportBMC musculoskeletal disorders2021
Geometrical restoration during total hip arthroplasty is related to change in gait pattern - a study based on computed tomography and three-dimensional gait analysis.
Trial report in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01512550 (Evaluation of the Importance in Restoring Biomechanical Correct Hip Anatomy During THA. A Prospective, Randomized and Controlled Study Evaluated by RSA, CT and Gait Analysis), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Evaluation of the Importance in Restoring Biomechanical Correct Hip Anatomy During THA. A Prospective, Randomized and Controlled Study Evaluated by RSA, CT and Gait Analysis
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- In vivo biomechanics after total hip arthroplasty: a state-of-the-art systematic review.EFORT open reviews · 2026Pooled it
- Postoperative Changes in Femoral Rotation Angle and Their Influencing Factors Following Total Hip Arthroplasty via Single Approach: A Retrospective CT-Based Study.Journal of clinical medicine · 2026Article
- Article
- Relationship Among Global Femoral Offset, Leg Lengthening, and Tibiofemoral Rotation After Total Hip Arthroplasty.Journal of clinical medicine · 2025Article
- Relating total hip replacement and acetabular cup positioning with outcome: A systematic review.Bioinformation · 2025Article
- Do Cementless Stems Match Any Hip? A Description of Anthropometric Measurements of the Proximal Femur in Colombia.Arthroplasty today · 2024Article
- The Sum of the Leg Length Discrepancy and the Difference in Global Femoral Offset Is Equal to That of the Contralateral Intact Side and Improves Postoperative Outcomes after Total Hip Arthroplasty: A Three-Dimensional Analysis.Journal of clinical medicine · 2024Article
- Comparison between model-based RSA and an AI-based CT-RSA: an accuracy study of 30 patients.Acta orthopaedica · 2024Article
- Gait biomechanics after proximal femoral nailing of intertrochanteric fractures.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023Article
- The modern state of femoral, acetabular, and global offsets in total hip arthroplasty: a narrative review.EFORT open reviews · 2023Review
- The association of postoperative global femoral offset with total hip arthroplasty outcomes.Scientific reports · 2023Article
- Postoperative hip center position is associated with gait symmetry in range of axial rotation in dysplasia patients after THA.Frontiers in surgery · 2023Article
- A Retrospective Single-Center Study of 23 Patients to Compare Gait Before and After Total Hip Arthroplasty Using the S-ROM Modular Hip System.Medical science monitor : international medical journal of experimental and clinical research · 2021Article
- Femoral Stem Version in Primary Hip Arthroplasty: Challenges and Advances in 3D Planning.JB & JS open accessReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe effect of change in hip anatomy on change in gait pattern is not well described in current literature. Therefore, our primary aim was to describe and quantify changes in hip geometry and gait pattern 1 year after total hip arthroplasty (THA) in individuals with hip osteoarthritis. Our secondary aim was to explore the effect of postoperative change in femoral neck anteversion (FNA) and femoral offset and acetabular offset (FO/AO) quota on postoperative change in hip rotation and hip adduction moment during gait, respectively, 1 year after THA".
methodsSixty-five individuals with primary hip osteoarthritis, scheduled for THA, were analyzed in this prospective intervention study. Participants were evaluated pre- and 1 year postoperatively with computed tomography-scans, three-dimensional gait analysis, and patient-reported outcome measures. Multiple linear regressions were performed to evaluate the association between change in joint anatomy and change in gait pattern after THA.
resultsOne year postoperatively, global offset was symmetrical between sides as a result of decreased acetabular offset and increased femoral offset on the operated side. Quality of overall gait pattern improved, and participants walked faster and with less trunk lean over the affected side. FNA and hip rotations during walking changed equally in external and internal directions after THA and change in hip rotation during walking was associated with change in FNA in the same direction. An increase in external hip adduction moments was, on the other hand, not associated with change in FO/AO quota but with a more upright walking position and increased walking speed.
conclusionsThe findings of this study suggest that geometrical restoration during THA impacts postoperative gait pattern and, in addition to known factors such as FO, height of hip rotation center, and leg length discrepancy, the FNA must also be taken into consideration.
trial registrationTrial registration: Clinicaltrial.gov , NCT01512550 , Registered 19 January 2012 - Retrospectively registered.
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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.