Muscle Activation Pattern During Gait and Stair Activities Following Total Hip Arthroplasty with a Direct Anterior Approach: a Comprehensive Case Study

Overview

Journal Arthroplast Today

Publisher Elsevier

Date 2018 Mar 22

PMID 29560392

Authors

Swati Chopra

Michael Taunton

Kenton Kaufman

Affiliations

Soon will be listed here.

Abstract

Muscle activation following total hip arthroplasty with a direct anterior approach has not previously been reported in the literature. This case report details the electromyography outcome of a 60-year-old male patient with unilateral direct anterior approach-total hip arthroplasty during walking and stair activities. Outcome reports the continuation of altered muscle activation 12 months postoperatively, even with a good clinical outcome.

References

Casartelli N, Leunig M, Item-Glatthorn J, Lepers R, Maffiuletti N . Hip flexor muscle fatigue in patients with symptomatic femoroacetabular impingement. Int Orthop. 2011; 36(5):967-73. PMC: 3337110. DOI: 10.1007/s00264-011-1385-5. View

Go S, Coleman-Wood K, Kaufman K . Frequency analysis of lower extremity electromyography signals for the quantitative diagnosis of dystonia. J Electromyogr Kinesiol. 2013; 24(1):31-6. PMC: 3947049. DOI: 10.1016/j.jelekin.2013.11.002. View

Madsen M, Ritter M, Morris H, Meding J, Berend M, Faris P . The effect of total hip arthroplasty surgical approach on gait. J Orthop Res. 2003; 22(1):44-50. DOI: 10.1016/S0736-0266(03)00151-7. View

Queen R, Butler R, Watters T, Kelley S, Attarian D, Bolognesi M . The effect of total hip arthroplasty surgical approach on postoperative gait mechanics. J Arthroplasty. 2011; 26(6 Suppl):66-71. DOI: 10.1016/j.arth.2011.04.033. View

Wesseling M, Meyer C, Corten K, Simon J, Desloovere K, Jonkers I . Does surgical approach or prosthesis type affect hip joint loading one year after surgery?. Gait Posture. 2016; 44:74-82. DOI: 10.1016/j.gaitpost.2015.11.009. View

Neptune R, Sasaki K, Kautz S . The effect of walking speed on muscle function and mechanical energetics. Gait Posture. 2007; 28(1):135-43. PMC: 2409271. DOI: 10.1016/j.gaitpost.2007.11.004. View

Poehling-Monaghan K, Kamath A, Taunton M, Pagnano M . Direct anterior versus miniposterior THA with the same advanced perioperative protocols: surprising early clinical results. Clin Orthop Relat Res. 2014; 473(2):623-31. PMC: 4294903. DOI: 10.1007/s11999-014-3827-z. View

Rasch A, Bystrom A, Dalen N, Martinez-Carranza N, Berg H . Persisting muscle atrophy two years after replacement of the hip. J Bone Joint Surg Br. 2009; 91(5):583-8. DOI: 10.1302/0301-620X.91B5.21477. View

Sims K, Richardson C, Brauer S . Investigation of hip abductor activation in subjects with clinical unilateral hip osteoarthritis. Ann Rheum Dis. 2002; 61(8):687-92. PMC: 1754203. DOI: 10.1136/ard.61.8.687. View

10.

Barrett W, Turner S, Leopold J . Prospective randomized study of direct anterior vs postero-lateral approach for total hip arthroplasty. J Arthroplasty. 2013; 28(9):1634-8. DOI: 10.1016/j.arth.2013.01.034. View

11.

Casartelli N, Maffiuletti N, Item-Glatthorn J, Staehli S, Bizzini M, Impellizzeri F . Hip muscle weakness in patients with symptomatic femoroacetabular impingement. Osteoarthritis Cartilage. 2011; 19(7):816-21. DOI: 10.1016/j.joca.2011.04.001. View

12.

Mayr E, Nogler M, Benedetti M, Kessler O, Reinthaler A, Krismer M . A prospective randomized assessment of earlier functional recovery in THA patients treated by minimally invasive direct anterior approach: a gait analysis study. Clin Biomech (Bristol). 2009; 24(10):812-8. DOI: 10.1016/j.clinbiomech.2009.07.010. View