title: Gait symmetry: a comparison of hip resurfacing and jumbo head total hip arthroplasty patients.
abstract: Proponents of large femoral head total hip arthroplasty (THA) and hip resurfacing arthroplasty (HRA) have touted the potential for restoration of more normal hip kinematics. This study examined 20 patients (10 THA and 10 HRA patients) approximately 18 months after surgery. Subjects were evaluated at a self-selected pace, while bilateral spatial-temporal gait variables, hip flexion/extension kinematics, and ground reaction forces were collected. For both groups, swing time was increased on the surgical side, whereas peak hip flexion, peak extension, and flexion at heel strike were decreased. Peak hip extension and peak vertical ground reaction forces were decreased in THA subjects compared with HRA subjects. After a large-diameter THA or HRA, subjects do not display symmetric gait approximately 18 months postoperatively. Total hip arthroplasty subjects demonstrated restricted hip extension and reduced limb loading when compared with HRA subjects.
authors.affiliation: Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.
authors.forename: Robin M
authors.initials: RM
authors.lastname: Queen
authors.forename: Tyler Steven
authors.initials: TS
authors.lastname: Watters
authors.forename: Alicia N
authors.initials: AN
authors.lastname: Abbey
authors.forename: Vani J
authors.initials: VJ
authors.lastname: Sabesan
authors.forename: Thomas Parker
authors.initials: TP
authors.lastname: Vail
authors.forename: Michael P
authors.initials: MP
authors.lastname: Bolognesi
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation / Q000379:methods*; D001696:Biomechanical Phenomena; D005260:Female; D005270:Femur Head / Q000601:surgery*; D005500:Follow-Up Studies; D005684:Gait / Q000502:physiology*; D006621:Hip Joint / Q000502:physiology* / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery*; D017063:Outcome Assessment, Health Care; D011184:Postoperative Period; D016059:Range of Motion, Articular / Q000502:physiology; D016896:Treatment Outcome