Analysis of Morphology and Gait Function After Intraarticular Calcaneal Fracture

Partial weight bearing after surgery for fractures of the lower extremity – is it achievable?

“…However, given loads of partial weight bearing have never been tested during dynamic gait phases. Mittlmeier et al [22] have noted that gait analysis is superior to radiographic analysis in assessing functional outcome after surgical reconstruction.…”

Personal Gait Satisfaction After Displaced Intraarticular Calcaneal Fractures: A 2-8 Year FollowUp

“…7 In contrast, Mittlemeier et al concluded that neither incongruities in the subtalar joint nor deviation of the hindfoot axis automatically implies a major disturbance of gait function. 32 Furthermore, their study revealed that morphological parameters derived from standard radiography and CT scanning have only a limited predictive value in the assessment of function and cannot replace functional evaluations such as clinical scores and gait analysis. 32 The most predictive morphologic parameters in the study were the width of the calcaneus, the Böhler angle, and arthrosis of the calcaneocuboid and subtalar joints.…”

“…32 Furthermore, their study revealed that morphological parameters derived from standard radiography and CT scanning have only a limited predictive value in the assessment of function and cannot replace functional evaluations such as clinical scores and gait analysis. 32 The most predictive morphologic parameters in the study were the width of the calcaneus, the Böhler angle, and arthrosis of the calcaneocuboid and subtalar joints. 32 One possible reason for this is the inability of traditional radiographic analysis to assess the soft-tissue components of the injury (e.g.…”

Defect Reconstruction in Articular Calcaneus Fractures with a Novel Calcium Phosphate Cement

“…In several studies the outcome after successful anatomic reconstruction was better than after conservative therapy [1,5,8,10,11,[23][24][25]. An anatomic reconstruction of the calcaneus and its articular surfaces was found to reduce the incidence of posttraumatic osteoarthritis and to improve range of motion and gait [2,26].…”

“…The primary indication for operative fracture treatment in these cases, therefore, is reconstruction of the anatomic structures and the geometry of the foot enabling the patient to walk normally and to use standard footwear [1,2].…”