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dc.contributor.authorCarty, Chrisen_US
dc.contributor.authorB. Bennett, Michaelen_US
dc.contributor.authorC. Dickinson, Ianen_US
dc.contributor.authorSteadman, Peteren_US
dc.date.accessioned2017-05-03T15:27:13Z
dc.date.available2017-05-03T15:27:13Z
dc.date.issued2009en_US
dc.date.modified2010-06-24T05:20:45Z
dc.identifier.issn09666362en_US
dc.identifier.doi10.1016/j.gaitpost.2009.08.234en_AU
dc.identifier.urihttp://hdl.handle.net/10072/30370
dc.description.abstractBone sarcomas are the fourth most common cancer in individuals under 25 years. Limb salvage procedures have become increasingly popular for the treatment of osteosarcomas as they have functional and psychological benefits over traditional amputative procedures. The purpose of this paper was to evaluate kinematic and kinetic characteristics of patient's post-limb salvage and examine key predictive factors of gait dysfunction. A retrospective outcome studywas undertaken on 20 limb salvage patients (10,, 10<) recruited from the Queensland Bone Tumour Registry. Kinematic and kinetic data were collected using a 3D motional analysis system and three force platforms. Loading response knee flexion in the affected lower limb was reduced compared to the unaffected lower limb (P < 0.001) and the control group (P < 0.001), although, closer examination of results showed two contrasting patterns of knee flexion during loading. Multiple regression analysis showed that muscular integrity (i.e. strength, ROM and residual mass) was the most predictive factor of function following limb salvage surgery. ANOVA showed that patients treated with the Stanmore SIMLESTM prostheses exhibited superior torque and power production at the ankle during late stance compared to those treated with the Stryker HMRS. In summary, the results showed that limb salvage patients adopted a gait pattern that reduced the moment demand at the knee and hip, suggesting a compensation for pain, reduced stability and/or muscle weakness.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_AU
dc.languageEnglishen_US
dc.language.isoen_AU
dc.publisherElsevieren_US
dc.publisher.placeNetherlandsen_US
dc.relation.ispartofstudentpublicationNen_AU
dc.relation.ispartofpagefrom547en_US
dc.relation.ispartofpageto551en_US
dc.relation.ispartofissue4en_US
dc.relation.ispartofjournalGait & Postureen_US
dc.relation.ispartofvolume30en_US
dc.rights.retentionYen_AU
dc.subject.fieldofresearchBiomechanicsen_US
dc.subject.fieldofresearchcode110601en_US
dc.titleAssessment of kinematic and kinetic patterns following limb salvage procedures for bone sarcomaen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.date.issued2009
gro.hasfulltextNo Full Text


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