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Purpose <p>This study examined whether surgical approach—minimally invasive anterolateral or transgluteal—affects ground reaction force symmetry in THA patients during early rehabilitation.</p> Methods <p>Data from 37 THA patients (14 transgluteal (TGL) approach, 23 minimally invasive (MIS) approach) were compared to a control group of 50 non-operated adults. Walking speed, cadence, and ground reaction force were measured with Insole sensors over a 30-m walk.</p> Results <p>Significant differences in ground reaction force symmetry emerged within and between groups throughout rehabilitation. Early in rehab, MIS patients showed better symmetry, speed, stance duration, and walking ability than TGL patients. The TGL group differed more from non-operated individuals than the MIS group did.</p> Conclusion <p>Individual rehabilitation concepts specific to the surgical approach with the inclusion of modern visual biofeedback systems have long been called for. And in light of such clear results they should be developed as quickly as possible.</p>

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Possible load after initial implantation of a total hip arthroplasty (THA): comparison of minimal invasive anterolateral approach with direct lateral transgluteal approach according to Bauer

  • 期刊论文

  • 发表日期：

    2025年3月25日

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  • Andrea Dörte Rösel,
  • Jörn Bengt Seeger,
  • Torben Harz,
  • Samar Hamad,
  • Markus Rickert,
  • Gerrit Maier,
  • Alexander Jahnke

摘要

Purpose

This study examined whether surgical approach—minimally invasive anterolateral or transgluteal—affects ground reaction force symmetry in THA patients during early rehabilitation.

Methods

Data from 37 THA patients (14 transgluteal (TGL) approach, 23 minimally invasive (MIS) approach) were compared to a control group of 50 non-operated adults. Walking speed, cadence, and ground reaction force were measured with Insole sensors over a 30-m walk.

Results

Significant differences in ground reaction force symmetry emerged within and between groups throughout rehabilitation. Early in rehab, MIS patients showed better symmetry, speed, stance duration, and walking ability than TGL patients. The TGL group differed more from non-operated individuals than the MIS group did.

Conclusion

Individual rehabilitation concepts specific to the surgical approach with the inclusion of modern visual biofeedback systems have long been called for. And in light of such clear results they should be developed as quickly as possible.