Evidence map›Paper›PMID 40893391›Full record

ArticleArthroplasty today2025

Improved Walking Steadiness Following total Hip Arthroplasty Compared to Total Knee Arthroplasty.

Kevin A Wu, David N Kugelman, Samuel Rosas, Sharrieff N Shah, Sean P Ryan, Samuel S Wellman, Michael P Bolognesi, Thorsten M Seyler

Abstract read
In one paragraph

Article in Arthroplasty today, 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

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. Review
  2. Article
  3. Article
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.

Kevin A WuDepartment of Orthopaedic Surgery, Duke University School of Medicine, Duke University, Durham, NC, USA.
David N KugelmanDepartment of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA, USA.
Samuel RosasDepartment of Orthopaedic Surgery, Duke University School of Medicine, Duke University, Durham, NC, USA.
Sharrieff N ShahDepartment of Orthopaedic Surgery, Duke University School of Medicine, Duke University, Durham, NC, USA.
Sean P RyanDepartment of Orthopaedic Surgery, Duke University School of Medicine, Duke University, Durham, NC, USA.
Samuel S WellmanDepartment of Orthopaedic Surgery, Duke University School of Medicine, Duke University, Durham, NC, USA.
Michael P BolognesiDepartment of Orthopaedic Surgery, Duke University School of Medicine, Duke University, Durham, NC, USA.
Thorsten M SeylerDepartment of Orthopaedic Surgery, Duke University School of Medicine, Duke University, Durham, NC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Total knee (TKA) and hip arthroplasty (THA) effectively treat end-stage osteoarthritis by restoring mobility and reducing pain; however, it is unclear how balance and steadiness compare between TKA and THA patients. This study utilized wearable technology to objectively compare functional recovery between TKA and THA patients. Methods: Two Hundred Nine patients underwent TKA (n = 152) or THA (n = 57) and were followed for 1 year. Participants wore Apple Watches with HealthKit to track daily step count, steadiness, standing duration, gait speed, and estimated 6-minute walk test distance. Data were analyzed at baseline, 6 weeks, 6 months, and 12 months postsurgery. Propensity score matching (1:1 ratio) yielded a final cohort of 110 patients (55 TKA, 55 THA). A multivariate regression analysis was conducted to evaluate the effect of THA vs TKA on steadiness, adjusting for contralateral Kellgren-Lawrence classification, age, sex, and body mass index. Results: Both groups improved mobility and endurance, with similar increases in step count, standing duration, and 6-minute walk test distance over 12 months. THA patients showed significantly greater steadiness at 6 (0.63 vs 0.49, Conclusions: This study, the first to utilize Apple HealthKit data to compare TKA and THA recovery, found that THA patients exhibit better steadiness and balance recovery at 6 and 12 months. These findings suggest that balance-focused rehabilitation may benefit TKA patients. Wearable technology provides valuable, objective insights, enabling personalized guidance and enhancing patient outcomes.

Indexed as

Functional outcomesGait metricsPatient-reported outcomesPostoperative recoveryTotal hip arthroplastyTotal knee arthroplasty

Identifiers

PMID40893391
PMCPMC12398885

What OpenQuestion holds

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Registered trials

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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.