Evidence map›Paper›PMID 40170712›Full record

ArticleJournal of experimental orthopaedics2025

Improvement in gait pattern after total knee arthroplasty for knee osteoarthritis.

Yasushi Oshima, Tokifumi Majima

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2025. 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

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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.

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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

2 authors.

Yasushi OshimaDepartment of Orthopaedic Surgery Nippon Medical School Tokyo Japan.ORCID 0000-0002-1584-7090
Tokifumi MajimaDepartment of Orthopaedic Surgery Nippon Medical School Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Knee osteoarthritis (KOA) leads to gait and balance deficiency, and to hinder activities of daily living (ADLs); all these factors may increase the risk of falls. Total knee arthroplasty (TKA) improves gait and balance; however, the effect of the contralateral knee's condition on this improvement has not been examined. This study evaluated the variation in gait pattern following TKA in relation to the different KOA levels or post-TKA conditions of the contralateral knee, examining the potential role of TKA in fall prevention. Methods: This prospective study included 53 post-TKA patients at 1-year follow-up. The gait parameters of symmetry-namely gait ability, uniformity as an index of gait and balance, and steps to reflect the level of ADL-were measured using the application software installed on the smart phone. Repeated measures analysis of variance was used for statistical analysis. The gaits were compared between patients with cruciate-retaining (CR) and posterior-stabilized (PS) implants and those with different conditions of the contralateral knee. Results: The preoperative uniformity, symmetry and steps were 59.0 ± 12.2%, 60.9 ± 12.9% and 50.4 ± 8.7, respectively. These gait parameters significantly decreased to 56.5 ± 12.2%, 58.5 ± 12.8% and 47.9 ± 8.6, respectively, 3 weeks after TKA; however, they significantly improved to 66.2 ± 10.7%, 68.5 ± 11.1% and 53.8 ± 4.9 1 year after TKA, respectively ( Conclusions: Gait parameters of KOA patients deteriorated with contralateral KOA and even after TKA over time. However, TKA could improve knee function, gait patterns and ADL, thereby potentially preventing falls. Level of Evidence: Level III.

Indexed as

abnormal body posturegait balanceknee–hip–spine syndromeknee osteoarthritistotal knee arthroplasty

Identifiers

PMID40170712
PMCPMC11959494

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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.