Total hip replacement surgery is a very successful operation with good long-term results. Hip resurfacing arthroplasty is offered as a treatment option for young and active patients with osteoarthritis of the hip. It has been proposed as a treatment option for younger patients because of claims that it preserves femoral bone stock and has better functional outcomes. The assessment of gait after hip replacement surgery may be able to determine functional differences between patients who have undergone total hip replacement / arthroplasty (THA) versus hip resurfacing.
A group of 58 patients, part of a ungoing randomized trial comparing resurfacing hip arthroplasty to metal-on-metal total hip arthroplasty, will be invited to a single gait analysis on a trendmill. All patients have reached a follow up of five years. Patient 's gait will be assessed during two walking sessions, in both sessions spatio-temporal, kinetic and kinematic parameters will be recorded. * At first when flat walking with increasing speeds to their top walking speed. * Secondly: when walking at a fixed speed with an increasing incline to their top walking incline.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
SINGLE
Enrollment
34
Gait analysis on a trendmill "GRAIL" to analyse spatio-temporal kinetics and kinematics when flat walking and inclining
Rijnstate Hospital
Arnhem, Gelderland, Netherlands
Top walking speed
Mean top walking speed in kilometers / hour assessed on a trendmill
Time frame: 5 years postoperative
Walking cadence
Mean steps / minute at top walking speed assessed on a trendmill
Time frame: 5 years postoperative
Step length
Mean step distance in meters at top walking speed assessed on a trendmill
Time frame: 5 years postoperative
Maximum Push off force (N/kg) per cycle
Mean ground reaction forces in Newton / kilogram on a trendmill
Time frame: 5 years postoperative
Maximum weight acceptance (N/kg) per cycle
Mean ground reaction forces assessed on a trendmill
Time frame: 5 years postoperative
Mid-stance force (N/kg) per cycle
Mean ground reaction forces assessed on a trendmill
Time frame: 5 years postoperative
Hip maximum flexion/extension per cycle
Mean hip kinematics in degrees assessed on a trendmill
Time frame: 5 years postoperative
Hip maximum internal/external rotation per cycle
Mean hip kinematics in degrees assessed on a trendmill
Time frame: 5 years postoperative
Postoperative hip functionality after hip arthroplasty.
Postoperative hip function according the Harris Hip Score and Western Ontario and McMaster Universities Osteoarthritis Index
Time frame: 5 years postoperative
General Health according EurQol-5D
Health outcome on the EQ-5D questionairre
Time frame: 5 years postoperative
Physical activity level according the UCLA-activity score
The University of California at Los Angeles (UCLA) activity score
Time frame: 5 years postoperative
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