Evidence map›Paper›PMID 41885068›Full record

ArticleOrthopaedic surgery2026

Correlation Between Functional Scores and Objective Gait Parameters Following Rotating Hinge Knee Megaprosthesis Reconstruction.

Meng-Yu Chen, Ming-Yong Gu, Sheng-Rui Chu, Chong Li, Xue-Fei Fu, Kuan Zhang, Ji-Zhou Zeng, Yan-Cheng Liu

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Article in Orthopaedic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Meng-Yu ChenDepartment of Bone and Joint Surgery, Beijing Luhe Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0009-0005-1006-0116
Ming-Yong GuDepartment of Sports Medicine, Third People's Hospital of Jinan City, Jinan City, Shandong Province, China.
Sheng-Rui ChuTianjin Medical University, Tianjin, China.
Chong LiDepartment of Bone and Joint Surgery, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Xue-Fei FuDepartment of Orthopedics, Provincial People's Hospital, Hefei, China.
Kuan ZhangSchool of Biomedical Engineering, Capital Medical University, Beijing, China.
Ji-Zhou ZengDepartment of Bone and Joint Surgery, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Yan-Cheng LiuDepartment of Bone and Soft Tissue Oncology, Tianjin Hospital, Tianjin, China.

Funding

Science and Technology Program of Jinan Health Commission 2023-2-62Tongzhou district science technology foundation Beijing, China KJ2023SS001Wu Jieping Foundation 320.6750.2022-18-49
6 · The paper itself

Abstract

objectiveAlthough the Musculoskeletal Tumor Society (MSTS) score, Toronto Extremity Salvage Score (TESS), and Knee Society Score (KSS) are widely used for postoperative functional evaluation in patients undergoing rotating hinge knee (RHK) megaprosthesis reconstruction, their accuracy in reflecting objective gait performance remains uncertain. The study aimed to analyze the correlations between these scoring systems and gait parameters.

methodsThis retrospective study included 21 patients who underwent RHK between April 2023 and April 2025. At one-year follow-up, functional outcomes were assessed using MSTS, TESS, and KSS. Gait parameters were collected using the Intelligent Device for Energy Expenditure and Activity (IDEEA v3.1, MiniSun LLC). All functional assessments were completed on the same day as the gait analysis. Linear regression analyzed correlations between each scoring system and gait parameters. Friedman and Wilcoxon signed-rank tests compared median coefficients of determination across scoring systems. Stepwise multiple linear regression was used to examine the relationships between the scoring system subitems and gait parameters.

resultsSignificant correlations were observed between all three scoring systems and multiple gait parameters after RHK (p < 0.05). The TESS had a significantly greater median R

conclusionsAll three scoring systems showed correlations with multiple key gait parameters in patients who underwent RHK. However, TESS demonstrated stronger and more consistent correlations and therefore appeared to be a more representative score of gait recovery.

Indexed as

Arthroplasty, Replacement, KneeGaitKnee ProsthesisAdultAgedFemaleGait AnalysisHumansMaleMiddle AgedRecovery of FunctionRetrospective Studiesfunctional scoregait analysisIDEEAmegaprosthesis

Identifiers

PMID41885068
PMCPMC13139051

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