Evidence map›Paper›PMID 39187829›Full record

ArticleJournal of orthopaedic surgery and research2024

Comparison of gait analysis before and after unilateral total knee arthroplasty for knee osteoarthritis.

Jun Fukui, Yasumoto Matsui, Takafumi Mizuno, Tsuyoshi Watanabe, Marie Takemura, Shinya Ishizuka, Shiro Imagama, Hidenori Arai

Abstract readComparative Study
In one paragraph

Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jun FukuiDepartment of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, 466-8550, Japan.
Yasumoto MatsuiCenter for Frailty and Locomotive Syndrome, National Center for Geriatrics and Gerontology, Obu, Aichi, 474-8511, Japan.
Takafumi MizunoDepartment of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, 466-8550, Japan.
Tsuyoshi WatanabeCenter for Frailty and Locomotive Syndrome, National Center for Geriatrics and Gerontology, Obu, Aichi, 474-8511, Japan.
Marie TakemuraCenter for Frailty and Locomotive Syndrome, National Center for Geriatrics and Gerontology, Obu, Aichi, 474-8511, Japan.
Shinya IshizukaDepartment of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, 466-8550, Japan. ishiduka.shinya.y1@f.mail.nagoya-u.ac.jp.
Shiro ImagamaDepartment of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, 466-8550, Japan.
Hidenori AraiCenter for Frailty and Locomotive Syndrome, National Center for Geriatrics and Gerontology, Obu, Aichi, 474-8511, Japan.

Funding

Research and Development of Geriatrics and Gerontology 29-12, 20-12, 22-24
6 · The paper itself

Abstract

backgroundGait ability can be objectively assessed using gait analysis. Three-dimensional gait analysis, the most commonly used analytical method, has limitations, such as a prolonged examination, high system costs, and inconsistently reported gait symmetry in patients with knee osteoarthritis (OA). Therefore, we aimed to evaluate the gait symmetry and changes before and after unilateral total knee arthroplasty (TKA) using the Walkway analyzer, a sheet-type gait analyzer.

methodsThe healthy group included 38 participants from the Locomotor Frailty and Sarcopenia Registry study with lower limb pain or Kellgren-Lawrence classification grade 3 or 4 OA. The OA group included 34 participants from the registry study who underwent unilateral TKA. The walking speed, step length, step width, cadence, stride time, stance time, swing phase time, double-limb support phase time, stride, step length, and step width were analyzed per side using the Walkway gait analyzer.

resultsNo significant differences between the right and left sides were observed in the healthy group. In the OA group, the time indices and stance phase (p = 0.011) and the double-limb support phase time (p = 0.039) were longer on the contralateral side and the swing phase was longer on the affected side (p = 0.004) pre-operatively. However, these differences disappeared post-operatively. There were no significant differences in the spatial indices. Thus, this study revealed that patients undergoing unilateral TKA had an asymmetric gait pre-operatively, with a time index compensating for the painful side, and an improved symmetric gait post-operatively.

conclusionsThe Walkway analyzer employs a simple test that requires only walking; hence, it is expected to be used for objective evaluation in actual clinical practice.

Indexed as

Arthroplasty, Replacement, KneeGait AnalysisOsteoarthritis, KneeAgedFemaleGaitHumansMaleMiddle AgedPostoperative PeriodPreoperative PeriodGait analysisGait symmetryKnee osteoarthritisTotal knee arthroplastyUnilateral gait

Identifiers

PMID39187829
PMCPMC11348746

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.