Berman A T, Quinn R H, Zarro V J
Department of Orthopedic Surgery, Hahnemann University Hospital, Philadelphia, PA 19102.
Arch Phys Med Rehabil. 1991 Mar;72(3):190-4.
By qualitative and quantitative analysis of gait we evaluated the outcomes in 41 patients after total hip arthroplasty for degenerative arthritis. Patients with unilateral and bilateral degenerative hip disease were evaluated in an effort to characterize preoperative and postoperative gait characteristics. Patients were evaluated using a subjective hip-rating scale and a gait-evaluation mat. Data were compared with those obtained from a control group of 91 patients. All patients showed a marked improvement in both subjective ratings and measured quantitative gait parameters. Patients with unilateral hip disease improved to a greater extent than those with bilateral disease after arthroplasty. We have concluded that total hip arthroplasty can greatly improve the gait characteristics of patients with degenerative arthritis, and that this improvement can be quantified, documented, and followed by using a system of gait evaluation.
通过对步态的定性和定量分析，我们评估了41例因退行性关节炎行全髋关节置换术患者的治疗效果。对单侧和双侧退行性髋关节疾病患者进行评估，以描述术前和术后的步态特征。使用主观髋关节评分量表和步态评估垫对患者进行评估。将数据与来自91例患者的对照组所获数据进行比较。所有患者在主观评分和测量的定量步态参数方面均有显著改善。单侧髋关节疾病患者在关节置换术后的改善程度大于双侧疾病患者。我们得出结论，全髋关节置换术可极大改善退行性关节炎患者的步态特征，且这种改善可以通过步态评估系统进行量化、记录和跟踪。
