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

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Abstract

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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References

  1. Schrager J, Patzer RE, Mink PJ, Ward KC, Goodman M (2011) Survival outcomes of pediatric osteosarcoma and ewing’s sarcoma: a comparison of surgery type within the SEER database, 1988–2007. J Registry Manag 38(3):153–161

    PubMed  Google Scholar 

  2. Solooki S, Mostafavizadeh Ardestani SM, Mahdaviazad H, Kardeh B (2018) Function and quality of life among primary osteosarcoma survivors in Iran: amputation versus limb salvage. Musculoskelet Surg 102(2):147–151

    Article  CAS  PubMed  Google Scholar 

  3. Idowu OK, Akinmade A, Giwa SO, Eyesan SU (2021) Segmental endoprosthesis replacement in a resource-constrained setting. Musculoskelet Surg 105(3):283–287

    Article  CAS  PubMed  Google Scholar 

  4. Rizzo A, Paderno M, Saccomanno MF, Milano F, Milano G (2024) The musculoskeletal tumor society scoring system is a valid subjective and objective tool to evaluate outcomes of surgical treatment of patients affected by upper and lower extremity tumors. Musculoskelet Surg 108(2):201–214

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Pesenti S, Peltier E, Pomero V, Authier G, Roscigni L, Viehweger E et al (2018) Knee function after limb salvage surgery for malignant bone tumor: comparison of megaprosthesis and distal femur allograft with epiphysis sparing. Int Orthop 42(2):427–436

    Article  PubMed  Google Scholar 

  6. Carty CP, Dickinson IC, Watts MC, Crawford RW, Steadman P (2009) Impairment and disability following limb salvage procedures for bone sarcoma. Knee 16(5):405–408

    Article  PubMed  Google Scholar 

  7. Carty CP, Bennett MB, Dickinson IC, Steadman P (2009) Assessment of kinematic and kinetic patterns following limb salvage procedures for bone sarcoma. Gait Posture 30(4):547–551

    Article  PubMed  Google Scholar 

  8. De Visser E, Mulder T, Schreuder HWB, Veth RPH, Duysens J (2000) Gait and electromyographic analysis of patients recovering after limb-saving surgery. Clin Biomech 15(8):592–599

    Article  Google Scholar 

  9. de Visser E, Pauwels J, Duysens JEJ, Mulder T, Veth RPH (1998) Gait adaptations during walking under visual and cognitive constraints. Am J Phys Med Rehabil 77(6):503–509

    Article  PubMed  Google Scholar 

  10. Enneking WF, Dunham W, Gebhardt MC, Malawar M, Pritchard DJ (1993) A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res 286:241–246

    Article  Google Scholar 

  11. Fowler EG, Eckardt JJ, Vuong A, Greenberg MB, Yamaguchi K, Bukata SV et al (2021) Gait outcomes following proximal tibial tumor resection and endoprosthetic reconstruction. Gait Posture 88:167–173

    Article  PubMed  Google Scholar 

  12. Okita Y, Tatematsu N, Nagai K, Nakayama T, Nakamata T, Okamoto T et al (2014) The effect of walking speed on gait kinematics and kinetics after endoprosthetic knee replacement following bone tumor resection. Gait Posture 40(4):622–627

    Article  PubMed  Google Scholar 

  13. Kim S, Ryu C, Jung ST (2021) Differences in kinematic and kinetic patterns according to the bone tumor location after endoprosthetic knee replacement following bone tumor resection: a comparative gait analysis between distal femur and proximal tibia. J Clin Med 10(18):4100

    Article  PubMed  PubMed Central  Google Scholar 

  14. Harris IE, Leff AR, Gitelis S, Simon MA (1990) Function after amputation, arthrodesis, or arthroplasty for tumors about the knee. J Bone Joint Surg Am 72(10):1477–1485

    Article  CAS  PubMed  Google Scholar 

  15. Okita Y, Tatematsu N, Nagai K, Nakayama T, Nakamata T, Okamoto T et al (2013) Compensation by nonoperated joints in the lower limbs during walking after endoprosthetic knee replacement following bone tumor resection. Clin Biomech 28(8):898–903

    Article  Google Scholar 

  16. Rompen JC, Ham SJ, Halbertsma JPK, Van HJR (2002) Gait and function in patients with a femoral endoprosthesis after tumor resection. Acta Orthop Scand 73(4):439–446

    Article  PubMed  Google Scholar 

  17. Benedetti MG, Catani F, Bilotta TW, Marcacci M, Mariani E, Giannini S (2003) Muscle activation pattern and gait biomechanics after total knee replacement. Clin Biomech 18(9):871–876

    Article  CAS  Google Scholar 

  18. Kainz H, Graham D, Edwards J, Walsh HPJ, Maine S, Boyd RN et al (2017) Reliability of four models for clinical gait analysis. Gait Posture 54:325–331

    Article  PubMed  Google Scholar 

  19. Schoderbek RJ, Brown TE, Mulhall KJ, Mounasamy V, Iorio R, Krackow KA et al (2006) Extensor Mechanism Disruption after Total Knee Arthroplasty. Clin Orthop Relat Res 446:176–185

    Article  PubMed  Google Scholar 

  20. Idowu O, Oluwadiya K, Eyesan S, Nasser M, Maden M, Abudu A (2022) The functional outcome after tumor resection and endoprosthesis around the knee: a systematic review. Acta Orthop Belg 88(1):73–85

    Article  PubMed  Google Scholar 

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Funding

The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.

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Authors and Affiliations

  1. 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

    Leonardo L. Almeida, Lidia Maria Prada, Nelson F. Gava & Edgard E. Engel

  2. Rehabilitation Center Lucy Montoro, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil

    Carla T. Caldas

Authors
  1. Leonardo L. Almeida
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  2. Lidia Maria Prada
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  3. Carla T. Caldas
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  4. Nelson F. Gava
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  5. Edgard E. Engel
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Lidia Maria Prada, Leonardo Lima de Almeida and Edgard Eduard Engel. The first draft of the manuscript was written by Lidia Maria Prada, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Leonardo L. Almeida.

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Almeida, L.L., Prada, L.M., Caldas, C.T. et al. Gait analysis of patients undergoing knee endoprosthesis: functional differences between tibia and femur resections. Musculoskelet Surg (2024). https://doi.org/10.1007/s12306-024-00844-y

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  • DOI: https://doi.org/10.1007/s12306-024-00844-y

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