Yıl: 2021 Cilt: 32 Sayı: 1 Sayfa Aralığı: 22 - 27 Metin Dili: İngilizce DOI: 10.5606/ehc.2021.79635 İndeks Tarihi: 05-06-2021

Unicompartmental knee arthroplasty results in a better gait pattern than total knee arthroplasty: Gait analysis with a smartphone application

Öz:
Objectives: The aim of this study was to compare the smartphone-based gait analysis data of patients who underwent total knee arthroplasty (TKA) and unicompartmental knee arthroplasty (UKA).Patients and methods: Between January 2016 and April 2019, a total of 51 patients (3 males, 48 females; mean age: 60.92 years; range, 51 to 70 years) who were operated with UKA or TKA in our clinic were retrospectively analyzed. The patients were divided into two groups according to the type of procedure as the UKA group (n=17) and unilateral TKA group (n=34). Gait analysis was made via a smartphone application (Gait Analyzer software version 0.9.95.0) with data acquired from the accelerometer of the smartphone. This analysis was performed using data collected from the Acceleration Sensor LSM6DSO into the Samsung Galaxy Note 10 Plus phone. Gait velocity, step time, step length, cadence, step time symmetry, step length symmetry, and vertical COM (vert-COM) parameters were measured.Results: There were no statistically significant differences between the groups in respect of age, sex, body mass index, operated side, and follow-up duration. Compared to the TKA group, the UKA patients showed a better gait pattern in gait velocity (p=0.03), step time symmetry (p=0.005), and step length symmetry (p=0.024). No significant difference was detected in step time (p=0.807), step length (p=0.302), cadence (p=0.727) and vert-COM parameters (p=0.608).Conclusion: The gait of UKA patients is closer to the physiological pattern with a better gait velocity, step time symmetry, and step length symmetry than TKA patients. The surgical treatment option of UKA for knee medial compartment osteoarthritis leads to a better gait pattern than TKA.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Sever GB, Cankuş C. The long-term results of cemented Oxford unicompartmental knee arthroplasty: A singlecenter experience. Eklem Hastalik Cerrahisi 2019;30:233-40.
  • 2. Migliorini F, Tingart M, Niewiera M, Rath B, Eschweiler J. Unicompartmental versus total knee arthroplasty for knee osteoarthritis. Eur J Orthop Surg Traumatol 2019;29:947-55.
  • 3. Siman H, Kamath AF, Carrillo N, Harmsen WS, Pagnano MW, Sierra RJ. Unicompartmental knee arthroplasty vs total knee arthroplasty for medial compartment arthritis in patients older than 75 years: Comparable reoperation, revision, and complication rates. J Arthroplasty 2017;32:1792-7.
  • 4. Kirschberg J, Goralski S, Layher F, Sander K, Matziolis G. Normalized gait analysis parameters are closely related to patient-reported outcome measures after total knee arthroplasty. Arch Orthop Trauma Surg 2018;138:711-7.
  • 5. Hatfield GL, Hubley-Kozey CL, Astephen Wilson JL, Dunbar MJ. The effect of total knee arthroplasty on knee joint kinematics and kinetics during gait. J Arthroplasty 2011;26:309-18.
  • 6. Silsupadol P, Teja K, Lugade V. Reliability and validity of a smartphone-based assessment of gait parameters across walking speed and smartphone locations: Body, bag, belt, hand, and pocket. Gait Posture 2017;58:516-22.
  • 7. Howell DR, Lugade V, Taksir M, Meehan WP 3rd. Determining the utility of a smartphone-based gait evaluation for possible use in concussion management. Phys Sportsmed 2020;48:75-80.
  • 8. Zijlstra W, Hof AL. Assessment of spatio-temporal gait parameters from trunk accelerations during human walking. Gait Posture 2003;18:1-10.
  • 9. Lacko M, Schreierová D. Comparison of survival rate and risk of revision for mobile-bearing and fixed-bearing total knee replacements. Eklem Hastalik Cerrahisi 2019;30:70-8.
  • 10. Cankaya D, Ozkurt B, Aydin C, Tabak AY. No difference in blood loss between posterior-cruciate-ligament-retaining and posterior-cruciate-ligament-stabilized total knee arthroplasties. Knee Surg Sports Traumatol Arthrosc 2014;22:1865-9.
  • 11. Kulshrestha V, Datta B, Kumar S, Mittal G. Outcome of Unicondylar Knee Arthroplasty vs Total Knee Arthroplasty for Early Medial Compartment Arthritis: A Randomized Study. J Arthroplasty 2017;32:1460-9.
  • 12. Nha KW, Shon OJ, Kong BS, Shin YS. Gait comparison of unicompartmental knee arthroplasty and total knee arthroplasty during level walking. PLoS One 2018;13:e0203310.
  • 13. Komnik I, Peters M, Funken J, David S, Weiss S, Potthast W. Non-Sagittal Knee Joint Kinematics and Kinetics during Gait on Level and Sloped Grounds with Unicompartmental and Total Knee Arthroplasty Patients. PLoS One 2016;11:e0168566.
  • 14. Furrer M, Bichsel L, Niederer M, Baur H, Schmid S. Validation of a smartphone-based measurement tool for the quantification of level walking. Gait Posture 2015;42:289-94.
  • 15. Morris JR. Accelerometry--a technique for the measurement of human body movements. J Biomech 1973;6:729-36.
  • 16. Ahad MAR, Ngo TT, Antar AD, Ahmed M, Hossain T, Muramatsu D, et al. Wearable sensor-based gait analysis for age and gender estimation. Sensors (Basel) 2020;20:2424.
  • 17. Nishiguchi S, Yamada M, Nagai K, Mori S, Kajiwara Y, Sonoda T, et al. Reliability and validity of gait analysis by android-based smartphone. Telemed J E Health 2012;18:292-6.
  • 18. Yang M, Zheng H, Wang H, McClean S, Newell D. iGAIT: an interactive accelerometer based gait analysis system. Comput Methods Programs Biomed 2012;108:715-23.
  • 19. Silsupadol P, Prupetkaew P, Kamnardsiri T, Lugade V. Smartphone-based assessment of gait during straight walking, turning, and walking speed modulation in laboratory and free-living environments. IEEE J Biomed Health Inform 2020;24:1188-95.
  • 20. Beck ON, Azua EN, Grabowski AM. Step time asymmetry increases metabolic energy expenditure during running. Eur J Appl Physiol 2018;118:2147-54.
  • 21. Kodesh E, Kafri M, Dar G, Dickstein R. Walking speed, unilateral leg loading, and step symmetry in young adults. Gait Posture 2012;35:66-9.
  • 22. Studenski S, Perera S, Patel K, Rosano C, Faulkner K, Inzitari M, et al. Gait speed and survival in older adults. JAMA 2011;305:50-8.
  • 23. Zifchock RA, Davis I, Higginson J, Royer T. The symmetry angle: a novel, robust method of quantifying asymmetry. Gait Posture 2008;27:622-7.
  • 24. Atik OŞ. What are the expectations of an editor from a scientific article? Jt Dis Relat Surg 2020;31:597-8.
  • 25. Wiik AV, Aqil A, Tankard S, Amis AA, Cobb JP. Downhill walking gait pattern discriminates between types of knee arthroplasty: improved physiological knee functionality in UKA versus TKA. Knee Surg Sports Traumatol Arthrosc 2015;23:1748-55.
  • 26. Wiik AV, Manning V, Strachan RK, Amis AA, Cobb JP. Unicompartmental knee arthroplasty enables near normal gait at higher speeds, unlike total knee arthroplasty. J Arthroplasty 2013;28(9 Suppl):176-8.
  • 27. Pincivero DM, Heller BM, Hou SI. The effects of ACL injury on quadriceps and hamstring torque, work and power. J Sports Sci 2002;20:689-96.
  • 28. Calliess T, Bocklage R, Karkosch R, Marschollek M, Windhagen H, Schulze M. Clinical evaluation of a mobile sensor-based gait analysis method for outcome measurement after knee arthroplasty. Sensors (Basel) 2014;14:15953-64.
APA Cankaya D, Akti S, ÜNAL Ş, Sezgin E (2021). Unicompartmental knee arthroplasty results in a better gait pattern than total knee arthroplasty: Gait analysis with a smartphone application. , 22 - 27. 10.5606/ehc.2021.79635
Chicago Cankaya Deniz,Akti Sefa,ÜNAL ŞENAY BETÜL,Sezgin Erdem Aras Unicompartmental knee arthroplasty results in a better gait pattern than total knee arthroplasty: Gait analysis with a smartphone application. (2021): 22 - 27. 10.5606/ehc.2021.79635
MLA Cankaya Deniz,Akti Sefa,ÜNAL ŞENAY BETÜL,Sezgin Erdem Aras Unicompartmental knee arthroplasty results in a better gait pattern than total knee arthroplasty: Gait analysis with a smartphone application. , 2021, ss.22 - 27. 10.5606/ehc.2021.79635
AMA Cankaya D,Akti S,ÜNAL Ş,Sezgin E Unicompartmental knee arthroplasty results in a better gait pattern than total knee arthroplasty: Gait analysis with a smartphone application. . 2021; 22 - 27. 10.5606/ehc.2021.79635
Vancouver Cankaya D,Akti S,ÜNAL Ş,Sezgin E Unicompartmental knee arthroplasty results in a better gait pattern than total knee arthroplasty: Gait analysis with a smartphone application. . 2021; 22 - 27. 10.5606/ehc.2021.79635
IEEE Cankaya D,Akti S,ÜNAL Ş,Sezgin E "Unicompartmental knee arthroplasty results in a better gait pattern than total knee arthroplasty: Gait analysis with a smartphone application." , ss.22 - 27, 2021. 10.5606/ehc.2021.79635
ISNAD Cankaya, Deniz vd. "Unicompartmental knee arthroplasty results in a better gait pattern than total knee arthroplasty: Gait analysis with a smartphone application". (2021), 22-27. https://doi.org/10.5606/ehc.2021.79635
APA Cankaya D, Akti S, ÜNAL Ş, Sezgin E (2021). Unicompartmental knee arthroplasty results in a better gait pattern than total knee arthroplasty: Gait analysis with a smartphone application. Joint diseases and related surgery, 32(1), 22 - 27. 10.5606/ehc.2021.79635
Chicago Cankaya Deniz,Akti Sefa,ÜNAL ŞENAY BETÜL,Sezgin Erdem Aras Unicompartmental knee arthroplasty results in a better gait pattern than total knee arthroplasty: Gait analysis with a smartphone application. Joint diseases and related surgery 32, no.1 (2021): 22 - 27. 10.5606/ehc.2021.79635
MLA Cankaya Deniz,Akti Sefa,ÜNAL ŞENAY BETÜL,Sezgin Erdem Aras Unicompartmental knee arthroplasty results in a better gait pattern than total knee arthroplasty: Gait analysis with a smartphone application. Joint diseases and related surgery, vol.32, no.1, 2021, ss.22 - 27. 10.5606/ehc.2021.79635
AMA Cankaya D,Akti S,ÜNAL Ş,Sezgin E Unicompartmental knee arthroplasty results in a better gait pattern than total knee arthroplasty: Gait analysis with a smartphone application. Joint diseases and related surgery. 2021; 32(1): 22 - 27. 10.5606/ehc.2021.79635
Vancouver Cankaya D,Akti S,ÜNAL Ş,Sezgin E Unicompartmental knee arthroplasty results in a better gait pattern than total knee arthroplasty: Gait analysis with a smartphone application. Joint diseases and related surgery. 2021; 32(1): 22 - 27. 10.5606/ehc.2021.79635
IEEE Cankaya D,Akti S,ÜNAL Ş,Sezgin E "Unicompartmental knee arthroplasty results in a better gait pattern than total knee arthroplasty: Gait analysis with a smartphone application." Joint diseases and related surgery, 32, ss.22 - 27, 2021. 10.5606/ehc.2021.79635
ISNAD Cankaya, Deniz vd. "Unicompartmental knee arthroplasty results in a better gait pattern than total knee arthroplasty: Gait analysis with a smartphone application". Joint diseases and related surgery 32/1 (2021), 22-27. https://doi.org/10.5606/ehc.2021.79635