EVALUATION OF GAIT, FUNCTIONAL MOBILITY, AND QUALITY OF LIFE OF PATIENTS UNDERGOING KNEE ARTHROPLASTY: A CROSS-SECTIONAL STUDY
Palavras-chave:
Gait, Functional Capacity, 2 Minute Walk test, Knee ArthroplastyResumo
Knee osteoarthritis, a common and progressive condition, is characterized by changes in articular cartilage and other anatomical structures (Primorac et al., 2020). Of congenital or acquired etiology, excess load (acute or chronic) or a combination of these (Felson et al., 2013). Cause of pain, functional limitation, and consequent decrease in quality of life (Silverwood et al., 2015).
Knee arthroplasty is a surgical alternative for restoring joint function and quality of life in these patients (Argenson et al., 2013; Benedetto et al., 2019). For the evaluation of knee functional restoration and patient quality of life, objective and subjective modalities are available (Unnanuntana et al., 2018). The objective assessment of gait with inertial sensors has a significant correlation with the findings of performance tests and quality of life questionnaires and outcomes (Youn et al. 2020).
The objective of this work is to evaluate the gait, functional capacity, and quality of life of patients undergoing primary knee arthroplasty between two types of knee prostheses: posterior stabilized with a fixed tibial plateau base and congruent rotating tibial plateau prosthesis for the treatment of advanced knee osteoarthritis.
Referências
Primorac D, Molnar V, Rod E, et al. Knee Osteoarthritis: A Review of Pathogenesis and State-Of-The-Art Non-Operative Therapeutic Considerations. Genes (Basel). 2020;11(8):854. Published 2020 Jul 26. doi:10.3390/genes11080854
Felson DT. Osteoarthritis as a disease of mechanics. Osteoarthritis Cartilage. 2013;21(1):10-15. doi:10.1016/j.joca.2012.09.012
Silverwood V, Blagojevic-Bucknall M, Jinks C, Jordan JL, Protheroe J, Jordan KP. Current evidence on risk factors for knee osteoarthritis in older adults: a systematic review and meta-analysis. Osteoarthritis Cartilage. 2015;23(4):507-515. doi:10.1016/j.joca.2014.11.019
Argenson JN, Boisgard S, Parratte S, et al. Survival analysis of total knee arthroplasty at a minimum 10 years' follow-up: a multicenter French nationwide study including 846 cases. Orthop Traumatol Surg Res. 2013;99(4):385-390. doi:10.1016/j.otsr.2013.03.014
Di Benedetto P, Vidi D, Colombo A, Buttironi MM, Cainero V, Causero A. Pre-operative and post-operative kinematic analysis in total knee arthroplasty. A pilot study. Acta Biomed. 2019 Dec 5;90(12-S):91-97. doi: 10.23750/abm.v90i12-S.8984. PMID: 31821291; PMCID: PMC7233708.
Unnanuntana A, Ruangsomboon P, Keesukpunt W. Validity and Responsiveness of the Two-Minute Walk Test for Measuring Functional Recovery After Total Knee Arthroplasty. J Arthroplasty. 2018;33(6):1737-1744. doi:10.1016/j.arth.2018.01.015
Youn IH, Leutzinger T, Youn JH, Zeni JA, Knarr BA. Self-Reported and Performance-Based Outcome Measures Estimation Using Wearables After Unilateral Total Knee Arthroplasty. Front Sports Act Living. 2020;2:569932. Published 2020 Sep 25. doi:10.3389/fspor.2020.569932
Lage PTS, Machado LAC, Barreto SM, de Figueiredo RC, Telles RW. Measurement properties of Portuguese-Brazil Western Ontario and McMaster Universities osteoarthritis index (WOMAC) for the assessment of knee complaints in Brazilian adults: ELSA-Brasil Musculoskeletal cohort. Rheumatol Int. 2020;40(2):233-242. doi:10.1007/s00296-019-04496-1
