Abstract

BackgroundIndividuals with unilateral lower limb amputation have a high risk of developing knee osteoarthritis (OA) in their intact limb as they age. This risk may be related to joint loading experienced earlier in life. We hypothesized that loading during walking would be greater in the intact limb of young US military service members with limb loss than in controls with no limb loss.MethodsCross-sectional instrumented gait analysis at self-selected walking speeds with a limb loss group (N = 10, age 27 ± 5 years, 170 ± 36 days since last surgery) including five service members with transtibial limb loss and five with transfemoral limb loss, all walking independently with their first prosthesis for approximately two months. Controls (N = 10, age 30 ± 4 years) were service members with no overt demographical risk factors for knee OA. 3D inverse dynamics modeling was performed to calculate joint moments and medial knee joint contact forces (JCF) were calculated using a reduction-based musculoskeletal modeling method and expressed relative to body weight (BW).ResultsPeak JCF and maximum JCF loading rate were significantly greater in limb loss (184% BW, 2,469% BW/s) vs. controls (157% BW, 1,985% BW/s), with large effect sizes. Results were robust to probabilistic perturbations to the knee model parameters.DiscussionAssuming these data are reflective of joint loading experienced in daily life, they support a “mechanical overloading” hypothesis for the risk of developing knee OA in the intact limb of limb loss subjects. Examination of the evolution of gait mechanics, joint loading, and joint health over time, as well as interventions to reduce load or strengthen the ability of the joint to withstand loads, is warranted.

Highlights

  • Since 2001, over 1,600 United States military service members have sustained traumatic injuries involving major limb loss (Fischer, 2015)

  • The self-selected walking speeds were similar between groups (1.25 ± 0.19 m/s for limb loss, 1.31 ± 0.10 m/s for controls, p = 0.40, d = 0.39, 95% confidence intervals (CI) [−0.19–0.07] m/s)

  • The peak force occurred in early stance and averaged 1.57 ± 0.26 body weight (BW), which is within the range of values reported in these studies (1.25–2.20 BW)

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Summary

Introduction

Since 2001, over 1,600 United States military service members have sustained traumatic injuries involving major limb loss (Fischer, 2015). The younger service members with limb loss from recent conflicts may live with a relatively high risk of developing knee OA for many years. Individuals with unilateral lower limb amputation have a high risk of developing knee osteoarthritis (OA) in their intact limb as they age. This risk may be related to joint loading experienced earlier in life. Assuming these data are reflective of joint loading experienced in daily life, they support a ‘‘mechanical overloading’’ hypothesis for the risk of developing knee OA in the intact limb of limb loss subjects. Examination of the evolution of gait mechanics, joint loading, and joint health over time, as well as interventions to reduce load or strengthen the ability of the joint to withstand loads, is warranted

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