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• W4304146100 abstract "Abstract Purpose Uni- or bilateral hip osteoarthritis is a common disease generating pain, stiffness, and functional disabilities. Changes in the normal walking with higher energy expenditures are observed. Facing a cruel lack of biomechanical data, we decided to analyse the impact on the walking of single and simultaneous bilateral total hip arthroplasties (THA). Method We conducted a prospective monocentric study, comparing two matched groups of 15 patients able to walk with symptomatic isolated uni- (group 1) or bilateral HO (group 2) and treated respectively by unilateral THA (UTHA) or simultaneous bilateral THA (SBTHA). Surgery was performed by a single surgeon with a direct anterior approach and approved by local ethical committee. Walking was assessed by a « 3D Gait analysis motion» pre and at 6 months post operatively. Result In the UTHA group, recovery , i.e., efficiency of locomotor mechanism (p < 0.001) and pelvis sagittal balance (p = 0.031) improved, while external and total work (p = 0.010) decreased post operatively. In the SBTHA group, speed ( p = 0.035), step length ( p = 0.046), range of motion of knee sagittal stance ( p = 0.009 ) and hip frontal ( p = 0.031 ), and internal work are significatively higher ( p < 0.001 ) post operatively. Conclusions This original study attests that THA has a positive impact on walking and energetics outcome in UTHA and SBTHA." @default.
• W4304146100 created "2022-10-11" @default.
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• W4304146100 date "2022-10-10" @default.
• W4304146100 modified "2023-09-27" @default.
• W4304146100 title "Is simultaneous bilateral total hip arthroplasty deleterious in a biomechanical point of view? A comparative gait analysis study" @default.
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• W4304146100 doi "https://doi.org/10.1186/s12891-022-05856-y" @default.
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