Unipedal balance is affected by lower extremity joint arthroplasty procedure 1 year following surgery.
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 articleSubject
loading asymmetrylower 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/10161/10290Published Version (Please cite this version)
10.1016/j.arth.2014.08.031Publication 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.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
Collections
More Info
Show full item recordScholars@Duke
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.
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.
Alphabetical list of authors with Scholars@Duke profiles.

Articles written by Duke faculty are made available through the campus open access policy. For more information see: Duke Open Access Policy
Rights for Collection: Scholarly Articles
Works are deposited here by their authors, and represent their research and opinions, not that of Duke University. Some materials and descriptions may include offensive content. More info
Related items
Showing items related by title, author, creator, and subject.
-
Preoperative predictors of extended hospital length of stay following total knee arthroplasty.
Halawi, Mohamad J; Vovos, Tyler J; Green, Cindy L; Wellman, Samuel S; Attarian, David E; Bolognesi, Michael P (J Arthroplasty, 2015-03)The purpose of this study was to identify the preoperative predictors of hospital length of stay after primary total knee arthroplasty in a patient population reflecting current trends toward shorter hospitalization and ... -
Patient expectation is the most important predictor of discharge destination after primary total joint arthroplasty.
Halawi, Mohamad J; Vovos, Tyler J; Green, Cindy L; Wellman, Samuel S; Attarian, David E; Bolognesi, Michael P (J Arthroplasty, 2015-04)The purpose of this study was to identify preoperative predictors of discharge destination after total joint arthroplasty. A retrospective study of three hundred and seventy-two consecutive patients who underwent primary ... -
Botulinum toxin type A injections for the management of muscle tightness following total hip arthroplasty: a case series.
Bhave, Anil; Zywiel, Michael G; Ulrich, Slif D; McGrath, Mike S; Seyler, Thorsten M; Marker, David R; Delanois, Ronald E; ... (8 authors) (J Orthop Surg Res, 2009-08-26)BACKGROUND: Development of hip adductor, tensor fascia lata, and rectus femoris muscle contractures following total hip arthroplasties are quite common, with some patients failing to improve despite treatment with a variety ...