Skip to main content
International Orthopaedics logoLink to International Orthopaedics
. 2004 Feb 7;28(2):82–86. doi: 10.1007/s00264-003-0525-y

Total knee replacement influences both knee and hip joint kinematics during stair climbing

Tuuli Saari 1,, Roy Tranberg 1,2, Roland Zügner 2, Johan Uvehammer 1, Johan Kärrholm 1
PMCID: PMC3474471  PMID: 15274236

Abstract

A gait analysis system was used to evaluate the kinematics of the hip and knee during stair ascending and descending after operation with total knee replacement. Patients with 5° varus/valgus alignment or less were selected randomly to receive either a flat or a concave tibial component with retention of the posterior cruciate ligament. Patients who had more than 5° varus/valgus alignment and/or an extension defect of 10° or more were selected randomly to receive the concave or posterior-stabilized tibial component with resection of the posterior cruciate ligament. Twenty patients and 17 controls were studied 1–2 years after the operation. Patients had abnormal kinematics during stair ascending and descending. Both knee extension and flexion were reduced. Hip extension tended to decrease, and decreased hip extension moment was noted.

Full Text

The Full Text of this article is available as a PDF (128.5 KB).

Acknowledgements

This project was financially sponsored by the Swedish Medical Research Council, the Ingabritt and Arne Lundbergs Research Foundation, and the Félix Neubergh Research Foundation.

References

  • 1.Al-Zahrani Disabil Rehabil. 2002;24:275. doi: 10.1080/09638280110087098. [DOI] [PubMed] [Google Scholar]
  • 2.Andriacchi J Arthroplasty. 1982;64:1328. [Google Scholar]
  • 3.Bolanos J Arthroplasty. 1998;13:906. doi: 10.1016/s0883-5403(98)90198-x. [DOI] [PubMed] [Google Scholar]
  • 4.Byrne Clin Biomech. 2002;17:580. doi: 10.1016/S0268-0033(02)00061-X. [DOI] [PubMed] [Google Scholar]
  • 5.Cloutier JM (1983) Results of total knee arthroplasty with a non-constrained prosthesis. J Bone Joint Surg [Am] 65:906–919 [PubMed]
  • 6.DorrClin Orthop 1988236363180584 [Google Scholar]
  • 7.Ferber Clin Biomech. 2002;17:274. doi: 10.1016/S0268-0033(02)00016-5. [DOI] [PubMed] [Google Scholar]
  • 8.Hagstedt Acta Orthop Scand. 1980;51:963. doi: 10.3109/17453678008990901. [DOI] [PubMed] [Google Scholar]
  • 9.Hilding MB, Lanshammar H, Ryd L (1996) Knee joint loading and tibial component loosening. J Bone Joint Surg [Br] 78:66–73 [PubMed]
  • 10.Hinman Arch Phys Med Rehabil. 2002;83:1080. doi: 10.1053/apmr.2002.33068. [DOI] [PubMed] [Google Scholar]
  • 11.Ishii J Orthop Sci. 1998;3:310. doi: 10.1007/s007760050058. [DOI] [PubMed] [Google Scholar]
  • 12.Kramers-de J Arthroplasty. 1997;12:168. doi: 10.1016/s0883-5403(97)90063-2. [DOI] [PubMed] [Google Scholar]
  • 13.Lee J Orthop Sci. 1999;4:13. doi: 10.1007/s007760050068. [DOI] [PubMed] [Google Scholar]
  • 14.Manetta Gait Posture. 2002;16:249. doi: 10.1016/S0966-6362(02)00009-7. [DOI] [PubMed] [Google Scholar]
  • 15.Ranawat Clin Orthop. 1973;94:185. doi: 10.1097/00003086-197307000-00023. [DOI] [PubMed] [Google Scholar]
  • 16.Riener Gait Posture. 2002;15:32. doi: 10.1016/S0966-6362(01)00162-X. [DOI] [PubMed] [Google Scholar]
  • 17.Saari Clin Orthop. 2003;410:235. doi: 10.1097/01.blo.0000063792.32430.82. [DOI] [PubMed] [Google Scholar]
  • 18.Simon SR, Trieshmann HW, Burdett RG, Ewald FC, Sledge CB (1983) Quantitative gait analysis after total knee arthroplasty for monarticular degenerative arthritis J Bone Joint Surg [Am] 65:605–613 [PubMed]
  • 19.Uvehammer J, Kärrholm J, Brandsson S (2000) In vivo kinematics of total knee arthroplasty, concave versus posterior-stabilised tibial joint surface. J Bone Joint Surg [Br] 82:499–505 [DOI] [PubMed]
  • 20.Uvehammer J Orthop Res. 2000;18:856. doi: 10.1002/jor.1100180603. [DOI] [PubMed] [Google Scholar]

Articles from International Orthopaedics are provided here courtesy of Springer-Verlag

RESOURCES