title: Gait patterns after total hip arthroplasty and surface replacement arthroplasty.
abstract: OBJECTIVE
  To compare gait patterns in patients with total hip arthroplasty (THA) and surface hip arthroplasty.
  
  
  METHODS
  Observational study.
  
  
  METHODS
  Outpatient biomechanical laboratory.
  
  
  METHODS
  Two groups of 10 surface hip arthroplasty and THA patients and 10 control subjects participated in the study (N=30). The patients were volunteers recruited from a larger randomized study.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  Gait patterns, hip abductor muscle strength, clinical outcomes, and radiographic analyses were compared between groups.
  
  
  RESULTS
  In the sagittal plane, the THA group showed a larger flexor moment and larger mechanical work in H2S and K3S power bursts compared with surface hip arthroplasty and control subjects. In the frontal plane, both THA and surface hip arthroplasty patients had smaller hip abductor muscles energy generation (H3F) than the control group. No difference was found for the hip abductor muscles strength.
  
  
  CONCLUSIONS
  In the THA group, the larger energy absorption in H2S and K3S would be a cost-effective mechanical adaptation to increase stability. The surface hip arthroplasty characteristics could allow the return to a more normative gait pattern compared with THA. The modification in the frontal plane in surface hip arthroplasty and THA would be related to the hip abductor muscles strength.
authors.affiliation: Department of Kinesiology, University of Montreal, Montreal, PQ, Canada.
authors.forename: Julie
authors.initials: J
authors.lastname: Nantel
authors.forename: Nicolas
authors.initials: N
authors.lastname: Termoz
authors.forename: Pascal-André
authors.initials: PA
authors.lastname: Vendittoli
authors.forename: Martin
authors.initials: M
authors.lastname: Lavigne
authors.forename: François
authors.initials: F
authors.lastname: Prince
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000534:rehabilitation*; D001696:Biomechanical Phenomena; D015444:Exercise; D005081:Exercise Therapy; D005260:Female; D005684:Gait; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000503:physiopathology*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009068:Movement; D053580:Muscle Strength; D018482:Muscle, Skeletal / Q000503:physiopathology*; D017060:Patient Satisfaction; D004856:Postural Balance; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome; D016474:Weight-Bearing