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Updated: Jul 25, 2026

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In Vitro Application of a Wireless Sensor in Flexion-Extension Gap Balance of Unicompartmental Knee Arthroplasty
Published on: May 5, 2023
Balance is an important predictive factor for quality of life and function after primary total knee replacement
I Schwartz1, L Kandel, A Sajina
1Hadassah-Hebrew University Medical Center, Department of Physical Medicine and Rehabilitation, P.O. Box 24035, Jerusalem 91240, Israel.
Summary
Improved balance, not just pain relief, significantly impacts total knee replacement (TKR) success. Post-TKR rehabilitation should prioritize balance training for better patient outcomes and mobility.
Area of Science:
- Orthopedics
- Rehabilitation Science
- Biomechanics
Background:
- Total knee replacement (TKR) aims to alleviate pain and restore function.
- Patient outcomes after TKR are influenced by various factors, including pain and physical function.
- The specific role of balance in TKR success requires further investigation.
Purpose of the Study:
- To investigate the correlation between improved balance and the success of total knee replacement (TKR).
- To determine if balance improvement is a significant predictor of TKR outcomes beyond pain relief.
Main Methods:
- A cohort of 81 patients undergoing TKR was recruited.
- 62 patients underwent static and dynamic balance assessments pre-operatively and one year post-operatively using validated equipment.
- Motor function and self-reported outcomes were also evaluated.
Main Results:
- A significant improvement in dynamic balance was observed one year after TKR (p < 0.001).
- Enhanced balance correlated positively with improved mobility, functional balance, and health-related quality of life.
- Balance improvement emerged as a key factor in TKR success, alongside pain relief.
Conclusions:
- Balance plays a crucial role in the overall success of total knee replacement.
- Post-operative rehabilitation protocols for TKR should incorporate targeted balance training.
- Addressing balance deficits can optimize functional recovery and patient satisfaction after TKR.
