Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 2 , Pages 200-206 , February 2007

The Difference Between Actual and Prescribed Weight Bearing of Total Hip Patients With a Trochanteric Osteotomy: Long-Term Vertical Force Measurements Inside and Outside the Hospital

  • Henri L. Hurkmans, PhD

      Affiliations

    • Department of Physical Therapy, Erasmus MC–University Medical Center, Rotterdam, The Netherlands
    • Corresponding Author InformationReprint requests to Henri L. Hurkmans, PhD, Dept of Physical Therapy, Erasmus MC–University Medical Center Rotterdam, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands.
    • ,
  • Johannes B. Bussmann, PhD

      Affiliations

    • Department of Rehabilitation Medicine, Erasmus MC–University Medical Center, Rotterdam, The Netherlands
    • ,
  • Ruud W. Selles, PhD

      Affiliations

    • Department of Rehabilitation Medicine, Erasmus MC–University Medical Center, Rotterdam, The Netherlands
    • ,
  • Eric Benda, PT

      Affiliations

    • Department of Physical Therapy, Erasmus MC–University Medical Center, Rotterdam, The Netherlands
    • ,
  • Henk J. Stam, MD, PhD

      Affiliations

    • Department of Rehabilitation Medicine, Erasmus MC–University Medical Center, Rotterdam, The Netherlands
    • ,
  • Jan A. Verhaar, MD, PhD

      Affiliations

    • Department of Orthopedic Surgery, Erasmus MC–University Medical Center, Rotterdam, The Netherlands.

References 

  1. Vasarhelyi A, Baumert T, Fritsch C, Hopfenmüller W, Gradl G, Mittlmeier T. Partial weight bearing after surgery for fractures of the lower extremity—is it achievable?. Gait Posture. 2006;23:99–105
  2. Chow DH, Cheng CT. Quantitative analysis of the effects of audio biofeedback on weight-bearing characteristics of persons with transtibial amputation during early prosthetic ambulation. J Rehabil Res Dev. 2000;37:255–260
  3. Endicott D, Roemer R, Brooks S, Meisel H. Leg load warning system for the orthopaedically handicapped. Med Biol Eng. 1974;12:318–321
  4. Gapsis JJ, Grabois M, Borrell RM, Menken SA, Kelly M. Limb load monitor: evaluation of a sensory feedback device for controlled weight bearing. Arch Phys Med Rehabil. 1982;63:38–41
  5. Perren T, Matter P. [Feedback-controlled weight bearing following osteosynthesis of the lower extremity]. [German] Swiss Surg. 1996;2:252–258
  6. Phillips TW, Nguyen LT, Munro SD. Loosening of cementless femoral stems: a biomechanical analysis of immediate fixation with loading vertical, femur horizontal. J Biomech. 1991;24:37–48
  7. Siebert WE. Partial weight bearing after total hip arthroplasty (What does the patient really do? A prospective randomized gait analysis). Hip Int. 1994;4:61–68
  8. Tveit M, Kärrholm J. Low effectiveness of prescribed partial weight bearing (Continuous recording of vertical loads using a new pressure-sensitive insole). J Rehabil Med. 2001;33:42–46
  9. Weaver JK. Total hip replacement: a comparison between the transtrochanteric and posterior surgical approaches. Clin Orthop Relat Res. 1975;(112):201–207Oct
  10. Wirtz DC, Heller KD, Niethard FU. [Biomechanical aspects of load-bearing capacity after total endoprosthesis replacement of the hip joint (An evaluation of current knowledge and review of the literature]). [German] Z Orthop Ihre Grenzgeb. 1998;136:310–316
  11. Teanby DN, Monsell FP, Goel R, Faux JC, Hardy SK. Failure of trochanteric osteotomy in total hip replacement: a comparison of two methods of reattachment. Ann R Coll Surg Engl. 1996;78:43–44
  12. Frankel A, Booth RE, Balderston RA, Cohn J, Rothman RH. Complications of trochanteric osteotomy (Long-term implications). Clin Orthop Relat Res. 1993;(288):209–213Mar
  13. Glassman AH. Complications of trochanteric osteotomy. Orthop Clin North Am. 1992;23:321–333
  14. Clarke RP, Shea WD, Bierbaum BE. Trochanteric osteotomy: analysis of pattern of wire fixation failure and complications. Clin Orthop Relat Res. 1979;(141):102–110Jun
  15. Burdet A, Taillard W, Blanc Y. [Standing and walking with walking aids—an electromyokinesigraphic examination]. [German] Z Orthop Ihre Grenzgeb. 1979;117:247–259
  16. Volz RG, Brown FW. The painful migrated ununited greater trochanter in total hip replacement. J Bone Joint Surg Am. 1977;59:1091–1093
  17. Gray FB, Gray C, McClanahan JW. Assessing the accuracy of partial weight-bearing instruction. Am J Orthop. 1998;27:558–560
  18. Wright DL, Kemp TL. The dual-task methodology and assessing the attentional demands of ambulation with walking devices. Phys Ther. 1992;72:306–312
  19. Li S, Armstrong CW, Cipriani D. Three-point gait crutch walking: variability in ground reaction force during weight bearing. Arch Phys Med Rehabil. 2001;82:86–92discussion 313-5
  20. Warren CG, Lehmann JF. Training procedures and biofeedback methods to achieve controlled partial weight bearing: an assessment. Arch Phys Med Rehabil. 1975;56:449–455
  21. Baxter ML, Allington RO, Koepke GH. Weight-distribution variables in the use of crutches and canes. Phys Ther. 1969;49:360–365
  22. Hurkmans HL, Bussmann JB, Selles RW, et al. Validity of the Pedar Mobile system for vertical force measurement during a seven-hour period. J Biomech. 2006;39:110–118
  23. Hurkmans HL, Bussmann JB, Benda E, Verhaar JA, Stam HJ. Accuracy and repeatability of the Pedar Mobile system in long-term vertical force measurements. Gait Posture. 2006;23:118–125
  24. Winstein CJ, Pohl PS, Cardinale C, Green A, Scholtz L, Waters CS. Learning a partial-weight-bearing skill: effectiveness of two forms of feedback. [published erratum in: Phys Ther 1997;77:328] Phys Ther. 1996;76:985–993
  25. Koval KJ, Sala DA, Kummer FJ, Zuckerman JD. Postoperative weight-bearing after a fracture of the femoral neck or an intertrochanteric fracture. J Bone Joint Surg Am. 1998;80:352–356
  26. Foley MP, Prax B, Crowell R, Boone T. Effects of assistive devices on cardiorespiratory demands in older adults. Phys Ther. 1996;76:1313–1319
  27. Hall J, Elvins DM, Burke SJ, Ring EF, Clarke AK. Heart rate evaluation of axillary and elbow crutches. J Med Eng Technol. 1991;15:232–238
  28. Fisher SV, Patterson RP. Energy cost of ambulation with crutches. Arch Phys Med Rehabil. 1981;62:250–256
  29. Crosbie J. Muscle activation patterns in aided gait. Clin Rehabil. 1993;7:229–238
  30. Opila KA, Nicol AC, Paul JP. Upper limb loadings of gait with crutches. J Biomech Eng. 1987;109:285–290
  31. Chow SP, Cheng CL, Hui PW, Pun WK, Ng C. Partial weight bearing after operations for hip fractures in elderly patients. J R Coll Surg Edinb. 1992;37:261–262
  32. Schon LC, Short KW, Parks BG, Kleeman TJ, Mroczek K. Efficacy of a new pressure-sensitive alarm for clinical use in orthopaedics. Clin Orthop Relat Res. 2004;(423):235–239Jun

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(06)01460-2

doi: 10.1016/j.apmr.2006.11.005

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 2 , Pages 200-206 , February 2007

Article Tools

* Image Usage & Resolution