ترجمه تخصصی متون علمی
the principal goal of Total Knee Replacement (TKR) in the treat-
ment of knee osteoarthritis (OA) is to improve quality of life through
the restoration of joint function, and reduction of pain. In recent years,
there has been a dramatic rise in the utilisation of TKR to treat younger
patients [1], and those with higher functional expectations [2,3].
Changes in physical function following surgery have most commonly
been monitored using patient-reported outcome measures (PROMs).
Recent evidence suggests PROMs fail to capture changes in perfor-
mance-based measures following TKR surgery [4–7]. It has also been
suggested that patients with severe OA have difficulty discriminating
between functional limitation and pain when self-assessing their ability
to perform activities of daily living [4].
Gait analysis provides an objective approach for assessing the ap-
parent disparity between performance-based and perceived functional
changes pre to post TKR surgery. Numerous studies have reported
functional deficits in biomechanical parameters in TKR cohorts when
compared to healthy subjects [8]. Few studies, however, have discussed
whether patients with the greatest perceived recovery also have the
best biomechanical outcomes and vice versa.
Biomechanical gait analysis yields a wealth of information re-
garding joint kinematics and kinetics, but the interpretation of findings
is complicated by interdependencies of the biomechanical variables [9].