We studied 7 younger and 5 older patients who had rotating-hinge total knee
replacements, 10 patients who had semiconstrained total knee replacements,
and 8 younger and 11 older healthy control subjects to determine the effec
ts of the rotating-hinge device on gait and stair stepping. The younger pat
ients with the rotating-hinge device had few significant differences from t
he younger control subjects during gait or stair stepping. The older patien
ts with the rotating-hinge device had several significant differences from
both the older control subjects and subjects with the semiconstrained devic
e during gait and stair stepping. Nevertheless, the proportions of older pa
tients with the 2 devices who were able to perform the step-on activity for
the highest step were the same.