Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Total Knee Arthroplasty (TKA) and Unicompartmental Knee Arthroplasty (UKA) are common surgical interventions for severe knee osteoarthritis, each with unique advantages and outcomes. This study aims to compare the postoperative gait patterns and functional outcomes between TKA and UKA to guide clinical decision‐making. This retrospective cohort study included 200 patients who underwent either TKA or UKA. Gait analysis was conducted to measure walking speed, stride length and stance time. Functional outcomes were assessed using the Knee Society Score (KSS), Oxford Knee Score (OKS) and range of motion measurements. Data were collected preoperatively and at 6 and 12 months postoperatively. Statistical analysis was performed to compare the outcomes between the two groups. UKA patients demonstrated statistically significant improvements in walking speed (p=0.037), stride length (p=0.045) and stance time (p=0.033) compared to TKA patients. In terms of functional recovery, UKA patients also showed better outcomes in range of motion (p=0.027) and similar scores in KSS and OKS. Patient‐reported satisfaction and quality of life were slightly higher in the UKA group. UKA is associated with better gait mechanics and similar or improved functional outcomes compared to TKA. These findings suggest that UKA may offer advantages in terms of recovery and quality of life for patients with localized knee osteoarthritis. The choice of procedure should consider individual patient conditions, preferences and the specific expertise of the surgical team.
How to cite this article:
Sandeep Kumar Meela, Byshetty Raju and Ramakrishna Komati. Comparison of Gait and Functional Outcomes in Total Knee Arthroplasty vs Unicompartmental Knee Arthroplasty.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.5.710.714
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.5.710.714