Gait analysis in patients with wide resection and endoprosthesis replacement around the knee

Vivek Ajit Singh, Chan Wei Heng, Nor Faissal YasinIndian Journal of Orthopaedics 2018 52(1):65-72Background: Limb salvage surgery with endoprosthesis for bone tumor around the knee is reported to have good functional and oncological outcomes. However, the functional assessment using musculoskeletal tumor society (MSTS) and Toronto extremity scoring system remains subjective. We performed gait analysis as an objective assessment of their functional outcome. Materials and Methods: Gait analysis was performed in 20 patients with endoprosthesis replacement around the knee. The temporal parameters assessed during gait analysis were walking velocity, stride length, duration of stance, and goniometry of the knee. These parameters were compared with the functional outcome score of the MSTS. Results: The mean free-paced walking velocity was 0.91 m/s (normal is 1.33 m/s), which was 68% lower than normal gait. The stride length and stance phase were shorter for the affected limb compared to normal (P
Source: Indian Journal of Orthopaedics - Category: Orthopaedics Authors: Source Type: research