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Effects of Total Hip Arthroplasty on Gait

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Abstract

The hip joint transfers upper body load to the lower limbs and plays an important role in maintaining balance and stability during locomotion. Muscles around the hip joint are also the major postural muscles in our body. A diseased hip joint experiences diminished function affecting the activity of daily living gravely. Furthermore, being a part of the closed kinetic chain, as the disease progresses, problems originating at the hip joint start showing effects on the neighboring joints including the pelvis, knee, ankle, and spine. The gold standard treatment for end-stage hip disease is total hip arthroplasty (THA). From a clinical perspective, total hip replacement is considered to be one of the most successful orthopedic surgeries in terms of patient outcome, based on self-reported questionnaires for health status. However, gait, being the major function of the hip joint, tends not to be assessed objectively in the outcome analysis of THA surgery. In research settings, THA has consistently shown a positive outcome with improved gait parameters compared to preoperative analysis. Note that this recovery is still not reported to be 100% in comparing to healthy controls and, as a result, objective assessment data during the early postoperative period can also be used to help design tailor-made rehabilitation protocols for individual patients, optimizing outcome results. This chapter details gait alteration in hip arthritis and improvement in gait following THA.

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Author information

Authors and Affiliations

  1. Motion Analysis Laboratory, Mayo Clinic, Rochester, MN, USA

    Swati Chopra & Kenton R. Kaufman

Authors
  1. Swati Chopra
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  2. Kenton R. Kaufman
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Corresponding authors

Correspondence to Swati Chopra or Kenton R. Kaufman .

Editor information

Editors and Affiliations

  1. Motion & More, Barcelona, Spain

    Bertram Müller

  2. Klinik für Orthopädie und Unfallchirurgi, Universitätsklinikum Heidelberg, Heidelberg, Germany

    Sebastian I. Wolf

  3. Institut for Biomechanics und Orthopedic, German Sport University Cologne, Cologne, Germany

    Gert-Peter Brueggemann

  4. Houston, Texas, USA

    Zhigang Deng

  5. ACRISP, FedUniversity, Cremorne, New South Wales, Australia

    Andrew McIntosh

  6. Wilmington, Delaware, USA

    Freeman Miller

  7. Research, C-Motion, Inc., Germantown, Maryland, USA

    William Scott Selbie

Section Editor information

  1. duPont Hospital for Children, Box 269, 19899, Wilmington, DE, USA

    Freeman Miller

  2. Movement Analysis Laboratory, Clinic for Orthopedics and Trauma Surgery; Center for Orthopedics, Trauma Surgery and Spinal Cord Injury;Heidelberg University Hospital, Schlierbacher Landstr. 200a, 69118, Heidelberg, Germany

    Sebastian I. Wolf

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© 2016 Springer International Publishing AG

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Chopra, S., Kaufman, K.R. (2016). Effects of Total Hip Arthroplasty on Gait. In: Müller, B., et al. Handbook of Human Motion. Springer, Cham. https://doi.org/10.1007/978-3-319-30808-1_81-1

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  • DOI: https://doi.org/10.1007/978-3-319-30808-1_81-1

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  • Publisher Name: Springer, Cham

  • Online ISBN: 978-3-319-30808-1

  • eBook Packages: Springer Reference EngineeringReference Module Computer Science and Engineering

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