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篇名 Dynamic Reaction Force of Feet after Unilateral Total Knee Arthroplasty
作者 Chi-Chuan Wu, Ming-Yih Lee*, Pai-Yang Lin
卷期/出版年月 39卷6期 (2006/12)
頁次 293-299
摘要 Objective:The follow-up period before implementing a new concept or technique introduced in a clinical study generally takes a long period. The present study is an attempt to shorten the follow-up period. A prospective study with measuring dynamic reaction force of feet to monitor the relationship between the clinical outcome and gait function in TKA patients following slightly valgus overcorrection was conducted. Theoretically, slightly valgus overcorrection for patients who underwent TKA might achieve more benefits.Methods: A device of the Dynamic Foot Pressure Assessment Unit (DFPAU), which was revised from the Computer Dyno Graphy (CDG), was used to investigate the clinical outcome in patients with unilateral total knee arthroplasty. Thirty-eight knees were overcorrected with slight valgus position (3° on the mechanical axis) and regularly followed for at least 1 year. Evaluation of gait analysis with the described device was performed preoperatively, before discharge, 1 month, 3 months, and 1 year postoperatively. Results: At 1 year, the ratio of force for single leg stance (RFL) and the ratio of impulse for single leg stance (RIL) had significant improvement as compared with the preoperative status. The improvements even reached normal levels as compared with the contralateral knee. In addition, the Knee Society (KS) functional scores also showed significant improvement as compared with the preoperative status (86 versus 52 points). The optimal height of the handgrip of a walker was found to be at the level of the wrist crease when the upper extremity hung down. Conclusions: Assessment of dynamic reaction force of feet might be used to monitor the outcomes of clinical treatment.
關鍵詞 Computer Dyno Graphy, dynamic foot pressure assessment unit, total knee arthroplasty
分類 Original Article

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