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Orthopaedic Proceedings
Vol. 103-B, Issue SUPP_2 | Pages 30 - 30
1 Mar 2021
De Vecchis M Biggs PR Wilson C Whatling GM Holt CA
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Abstract

Objectives

Exploring the association of objective lower limb function pre and post total knee replacement (TKR).

Methods

3D gait analysis was performed on 28 non-pathological participants (NP) and 40 patients with advanced knee osteoarthritis (OA) before and approximately one year after TKR. For NP and OA patients pre/post-TKR, 12 waveforms on kinetic and kinematic variables of the operative side were chosen to perform data reduction through Principal Component (PC) Analysis. The Cardiff Classifier, a classification system based on Dempster-Shafer theory, was trained with the first 3 PCs of each variable. The 18 highest-ranking PCs classifying the biomechanical features of each participant as Belief in Healthy, Belief in OA (BOA) or Belief in Uncertainty were used to quantify biomechanical changes pre- to post-TKR. The correlation between patients’ BOA values (range: 0 to 1, 0 indicates null BOA and 1 high BOA) pre- and post-TKR was tested through Spearman's correlation coefficient. Wilcoxon matched-pair test (α<0.05) determined the significance of the change in BOA.