Gait analysis of patients undergoing knee endoprosthesis: functional differences between tibia and femur resections.

Musculoskelet Surg

Department of Orthopedics and Anesthesiology, Ribeirão Preto Medical School, University of São Paulo, 11th Floor, 3900 Bandeirantes Av., Extension: 2513, Monte Alegre, Ribeirão Preto, SP, 14048900, Brazil.

Published: December 2024

With the improvement in survival of patients undergoing knee reconstructive surgeries, the functional parameter became widely studied heading optimize and minimize motor sequelae. In patients undergoing knee endoprosthesis, proximal tibial or distal femoral resections affect the functioning of the knee extensor mechanism, with possible repercussions on gait. Seventeen patients were selected, divided into two groups, undergoing distal femoral or proximal tibial resection, and gait analysis examination was performed. Changes in gait velocity, cadence, step length, and alterations in the support and balance phase were observed. No major statistically significant differences were found in the kinetic and kinematic parameters between the operated groups. The study corroborates that although tibial resections have a higher theoretical risk of compromising the extensor mechanism, such data were not observed in the analyzed sample.

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http://dx.doi.org/10.1007/s12306-024-00844-yDOI Listing

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