Assessment of body balance of patients treated with the Ilizarov method for tibial nonunion

Abstract

Purpose: The biomechanics of the musculoskeletal system in patients after tibial nonunion treatment using the Ilizarov method have not yet been fully explored. From the orthopaedic and patient point of view, after the treatment, an assessment should be carried out of the biomechanics of the musculoskeletal system. The aim of this study was to assess the body balance of patients treated with the Ilizarov method for tibial nonunion. Methods: The research group included 24 individuals with a mean age of 55 years, who were treated for aseptic tibial nonunion with the Ilizarov method. The control group was matched to the study group in terms of gender and age, and consisted of 32 subjects with a mean age of 50.5 years and no significant medical history. This study evaluated the balance of patients with the use of pedobarography. Results: In the control group, a statistically significantly shorter path of centre of gravity was observed. There were no statistical differences between the study and control groups for the field area of the centre of gravity. There were no statistical differences between the study and control groups for the minor axis length or major axis length of the centre of gravity. There was a relationship between the centre of pressure path length and the age of the participants in both the control group and the study group. Conclusions: Treatment of patients with tibial nonunion with the Ilizarov fixator achieves similar balance to healthy volunteers. In the pedobarographic evaluation, patients treated for tibial nonunion using the Ilizarov method had similar statics of the musculoskeletal system to healthy volunteers.

Balance and Weight Distribution over the Lower Limbs Following Calcaneal Fracture Treatment with the Ilizarov Method

“…Any abnormalities in the three-dimensional structure of the calcaneus and foot may lead to asymmetric load distribution in the foot, which causes pain, as well as accelerates tissue degeneration [ 4 ]. Post-traumatic deformities and changes in three-dimensional structure of the calcaneus and foot may adversely affect gait, balance, and weight distribution over the lower limbs [ 1 , 2 , 4 , 6 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 ].…”

“…Normal gait function is largely dependent on the anatomical bony structure of the foot [ 5 , 6 , 7 , 14 ]. Apart from the standard clinical and radiological assessments following lower-limb surgery, it is very important to also evaluate biomechanical parameters [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 ]. Pedobarography helps assess balance parameters and the distribution of loads on the lower limbs [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ].…”

“…Apart from the standard clinical and radiological assessments following lower-limb surgery, it is very important to also evaluate biomechanical parameters [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 ]. Pedobarography helps assess balance parameters and the distribution of loads on the lower limbs [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ]. Pedobarography is an accepted method for examining the statics and dynamics of musculoskeletal issues [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 36 ].…”

“…Pedobarography helps assess balance parameters and the distribution of loads on the lower limbs [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ]. Pedobarography is an accepted method for examining the statics and dynamics of musculoskeletal issues [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 36 ]. Pedobarography is a useful, reproducible, objective, and comparable assessment method in the treatment of musculoskeletal pathologies [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 26 , 27 , 28 , 29 , 34 , 35 <...…”

“…There have been no studies to assess the balance and weight distribution over the lower limbs following calcaneal fracture treatment. The studies conducted so far included assessments of balance and weight distribution over the lower limbs following lengthening and corrective corticotomy procedures on the thigh and leg with the Ilizarov method, ankle joint arthrodesis procedures, or tibial nonunion treatment with the Ilizarov method [ 15 , 16 , 17 , 18 ].…”