Unipedal balance is affected by lower extremity joint arthroplasty procedure 1 year following surgery.

Date
2015-02
Authors
Butler, Robert J
Ruberte Thiele, Ramon A
Barnes, C Lowry
Bolognesi, Michael P
Queen, Robin M
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Abstract
Lower Extremity Joint Arthroplasty (LEJA) surgery is an effective way to alleviate painful osteoarthritis. Unfortunately, these surgeries do not normalize the loading asymmetry during the single leg stance phase of gait. Therefore, we examined single leg balance in 234 TJA patients (75 hips, 65 knees, 94 ankles) approximately 12 months following surgery. Patients passed if they maintained single leg balance for 10s with their eyes open. Patients one year following total hip arthroplasty (THA-63%) and total knee arthroplasty (TKA-69%) had similar pass rates compared to a total ankle arthroplasty (TAA-9%). Patients following THA and TKA exhibit better unilateral balance in comparison with TAA patients. It may be beneficial to include a rigorous proprioception and balance training program in TAA patients to optimize functional outcomes.
Type
Journal article
Subject
loading asymmetry
lower extremity osteoarthritis
proprioception
single leg balance
total joint arthroplasty
Aged
Arthroplasty, Replacement, Ankle
Arthroplasty, Replacement, Hip
Arthroplasty, Replacement, Knee
Humans
Joints
Lower Extremity
Middle Aged
Osteoarthritis
Postural Balance
Retrospective Studies
Permalink
https://hdl.handle.net/10161/10290
Published Version (Please cite this version)
10.1016/j.arth.2014.08.031
Publication Info
Butler, Robert J; Ruberte Thiele, Ramon A; Barnes, C Lowry; Bolognesi, Michael P; & Queen, Robin M (2015). Unipedal balance is affected by lower extremity joint arthroplasty procedure 1 year following surgery. J Arthroplasty, 30(2). pp. 286-289. 10.1016/j.arth.2014.08.031. Retrieved from https://hdl.handle.net/10161/10290.
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Scholars@Duke

Bolognesi

Michael Paul Bolognesi

Professor of Orthopaedic Surgery
As chief of the adult reconstruction service, the majority of my research effort has been directed toward clinical outcomes, implant survivorship, functional recovery, the biology of hip and knee arthritis and cost effectiveness.
Butler

Robert John Butler

Adjunct Associate Professor in the Department of Orthopaedic Surgery
Construction of standards for a functional testing continuum for ACL patients to optimize durability and performance.Development of field expedient tests to predict musculoskeletal injury. Predictors of the early presentation of knee osteoarthritis following a joint injury. 

Robin Marie Queen

Assistant Professor of Orthopaedic Surgery
This author no longer has a Scholars@Duke profile, so the information shown here reflects their Duke status at the time this item was deposited.
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