Document Detail


Kinesiologic measurements of functional performance before and after geometric total knee replacemtn: one-year follow-up of twenty cases.
MedLine Citation:
PMID:  598117     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Kinesiologic measurements were made in patients with severe arthritis before and after geometric total knee replacements to evaluate the nature, rate and extent of change in their functional ability. Preoperatively, patients with rheumatoid arthritis functioned at lower levels than patients with osteoarthritis. Most patients with rheumatoid arthritis improved steadily after surgery, while progress of those with osteoarthritis was often irregular. The group with rheumatoid arthritis improved more than those with osteoarthritis, but they did not generally reach the functional level attained by the patients with osteoarthritis, and neither group reached the lower limits of normal variability 1 year postoperatively. On the average, both groups gained knee extensions, lost knee flexion, and gained isometric knee flexor muscle strength postoperatively. Every patient with osteoarthritis lost extensor muscle strength 1 year after surgery, while most with rheumatoid arthritis gained. During quiet standing, most patients had straighter knees postoperatively and bore a greater percent of body weight on the operated limb. Patients with rheumatoid arthritis improved more than patients with osteoarthritis in the type and amount of force applied to canes and crutches. Most patients walked faster postoperatively, took longer and more rapid steps, improved the pattern of knee motion used, and had smoother forward, lateral and vertical head motion.
Authors:
M C Collopy; M P Murray; G M Gardner; R A DiUlio; D R Gore
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:    1977 Jul-Aug
Date Detail:
Created Date:  1978-03-29     Completed Date:  1978-03-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  196-202     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Arthritis, Rheumatoid / rehabilitation*,  surgery
Follow-Up Studies
Gait
Humans
Joint Prosthesis*
Knee Joint*
Locomotion
Middle Aged
Movement
Orthopedic Equipment
Osteoarthritis / rehabilitation*,  surgery
Posture

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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