Analysis of Foot and Ankle Kinematics After Operative Reduction of High-Grade Intra-Articular Fractures of the Calcaneus

Hetsroni, Iftach; Nyska, Meir; Ben‐Sira, David; Arnson, Yoav; Buksbaum, Chen; Алиев, Э. C.; Mann, Gideon; Massarwe, Sabri; Rozenfeld, Gal; Ayalon, Moshe

doi:10.1097/ta.0b013e3181dbe5f7

Cited by 26 publications

(14 citation statements)

References 22 publications

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“…This number of patients is in line with previous studies reporting on foot and ankle kinematics, using a MSFM. [ 7 , 13 , 14 , 22 , 24 – 28 ] When patients were divided by age, 13 subjects (17 feet) were included in the younger adults group and 8 subjects (14 feet) in the older adults group. These groups were smaller.…”

Section: Discussionmentioning

confidence: 99%

The effect of age and speed on foot and ankle kinematics assessed using a 4-segment foot model

Hoeve

Leenstra²,

Willems³

et al. 2017

Medicine

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Section: Discussionmentioning

confidence: 99%

The effect of age and speed on foot and ankle kinematics assessed using a 4-segment foot model

Hoeve

Leenstra²,

Willems³

et al. 2017

Medicine

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“…Previous studies found that vertical ground reaction forces (VGRFs) and kinematics were altered in patients after calcaneal bone pathology [1][2][3][4][5][6][7]. It is unclear whether altered kinematics in patients correlate with altered VGRFs, but if so, then VGRFs can hypothetically be used as a screening instrument to identify patients with altered foot and ankle kinematics who need a more detailed kinematic analysis with a multisegment foot model (MSFM) [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Vertical ground reaction forces in patients after calcaneal trauma surgery

et al. 2017

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Patients after calcaneal fracture showed lower minimum force during midstance and lower maximum force during toe-off compared to healthy subjects. This lower maximum force during push-off correlated significantly with PROMs, range of motion in the sagittal plane during push-off and radiographic postoperative residual step-off in the posterior facet of the calcaneal bone. VGRFs are a valuable screening tool for identifying patients with altered gait patterns.

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“…Both manual and implantary compression can further recreate the width and height of the calcaneus [22,24]. When recreation of gross calcaneal anatomy is obtained during the operation, walking ankle motion is recreated as well [27]. In the current study, gross anatomical calcaneal structures were achieved in all patients, and a normal walking gait was regained for each patient at the follow ups.…”

Section: Discussionmentioning

confidence: 72%

“…For all practical purposes, ORIF remains the treatment of choice for such injuries at many orthopaedic trauma centres [27]. The majority of orthopaedic surgeons emphasise anatomical reduction of the articular surfaces of the subtalar joint, especially the posterior articular surface.…”

Section: Discussionmentioning

confidence: 99%

Bony destructive injuries of the calcaneus: long-term results of a minimally invasive procedure followed by early functional exercise: a retrospective study

Chen

Zhou

et al. 2014

BMC Surg

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BackgroundBony destructive injury of the calcaneus (BDIC) represents one of the most severe comminuted fractures of the calcaneus in which soft tissue coverage remains intact. The features of this injury include a collapsed articular surface, significant widening, severe loss of height and an unrecognisable outline of the calcaneus. This study aims to present the long-term outcomes of BDIC treated in a minimally invasive fashion followed by supervised early exercise.MethodsTwelve patients with unilateral BDICs were treated at our institution. The main surgical procedures included percutaneous traction and leverage reduction and internal compression fixation with anatomic plates and compression bolts. Early functional exercise was encouraged to mould the subtalar joint. The height, length and width of the calcaneus; Böhler’s and Gissane’s angles; reduction of the articular surfaces; and functional recovery of the affected feet were assessed.ResultsThe height, length and width of the calcaneus were substantially restored. The mean Böhler’s and Gissane’s angles of the affected calcaneus were 24.5 and 122.8 degrees, respectively. Five patients regained anatomical or nearly anatomical reduction of their posterior facets. Residual articular displacement of more than 3 mm was noted in three patients. Patients were followed for a mean of 93.9 months. The mean American Orthopaedic Foot and Ankle Society score was 83.8. Nine patients showed excellent or good results. Radiographic evidence of post-traumatic subtalar arthritis was observed in four cases. However, no subtalar arthrodesis was required.ConclusionsBDICs can be treated effectively with percutaneous reduction and internal compression fixation followed by early active exercise. This protocol resulted in satisfactory radiological and functional outcomes.

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Analysis of Foot and Ankle Kinematics After Operative Reduction of High-Grade Intra-Articular Fractures of the Calcaneus

Cited by 26 publications

References 22 publications

The effect of age and speed on foot and ankle kinematics assessed using a 4-segment foot model

The effect of age and speed on foot and ankle kinematics assessed using a 4-segment foot model

Vertical ground reaction forces in patients after calcaneal trauma surgery

Bony destructive injuries of the calcaneus: long-term results of a minimally invasive procedure followed by early functional exercise: a retrospective study

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