Comparison of Plantar Pressure Distribution During Walking After Two Different Surgical Treatments for Calcaneal Fracture

Jandová, Soňa; Pazour, Jan; Janura, Miroslav

doi:10.1053/j.jfas.2018.08.051

Cited by 10 publications

(19 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[ 27 ] also showed subtle asymmetries in gait kinetics and kinematics between the operated and non-operated limbs, and they considered that patients performed a more cautious walking pattern and an integral strategy. Plantar pressures of other type ankle fractures such as pilon fractures, calcaneal fractures were also asymmetry, and adhesion or conduction disorders at the tibia may be causes of abnormal plantar pressure [ 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

“…Compared with normal healthy subjects, patients with trimalleolar fracture performed abnormal gait during walking support period. Patients tended to step more cautiously on the injured heel, showing smaller peak plantar pressure in HF, and this might be due to pain or psychological factors such as fear or worry of reinjury [ 29 ]. For patients, the contact time (%) of HF and MF and total contact time were significantly increased, and it might be associated with lower ankle stability: for patients with trimalleolar fractures, the lateral, medial and posterior malleolus were injured, probably impairing the ankle stability, and patients needed more time to maintain ankle stability [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical assessments and gait analysis for patients with Trimalleolar fractures in the early postoperative period

Zhu

Wang

Tian

et al. 2022

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Trimalleolar fracture is a common ankle fracture with serious complications and costly healthcare problem. Most studies used clinical assessments to evaluate the functional status of the patients. Although clinical assessments are valid, they are static and subjective. Dynamic, objective and precise evaluations such as gait analysis are needed. Ankle biomechanics studies on gait in patients with trimalleolar fractures are still rare. This study aimed to investigate the clinical outcomes and gait biomechanics in patients with trimalleolar fractures in the early postoperative period and compared to healthy controls. Methods This was a cross-sectional study. 12 patients with trimalleolar fractures were recruited, and 12 healthy people served as controls. All patients underwent clinical assessments: Olerud and Molander ankle score (OMAS), ankle swelling and passive range of motion (ROM) of ankle, and completed gait biomechanical analysis when weight-bearing was allowed: temporal-spatial parameters, plantar pressure distributions, and surface electromyography (sEMG). The control group only performed gait test. Results Patients had poor outcomes of clinical assessments in the short-term. During gait analysis, patients presented compromised gait patterns: shorter step length, larger step width, slower walking speed and shorter single support compared to healthy controls (P < 0.001), and patients showed asymmetrical gait. Symmetry index of step width and walking speed were mainly correlated with the difference of ankle inversion ROM between two sides (R = -0.750, P = 0.005; R = -0.700, P = 0.011). During walking, patients showed abnormal dynamic plantar pressure features (mainly in the hindfoot and forefoot regions), and the IEMG (integrated electromyography) of tibial anterior muscle (TA) and peroneal longus muscle (PL) were larger than healthy controls (P = 0.002, 0.050). Conclusions Patients with trimalleolar fractures showed physical impairments of the ankle, and presented altered gait parameters compared to healthy subjects in the short-term. The ankle stability of patients declined, and deficits in TA and PL muscle ability might contribute to it. Restoring complete muscle functions and improving passive ankle ROM are significant to promote the recovery of a normal gait pattern.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Clinical assessments and gait analysis for patients with Trimalleolar fractures in the early postoperative period

Zhu

Wang

Tian

et al. 2022

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…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 ].…”

Section: Introductionmentioning

confidence: 99%

“…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 ].…”

Section: Introductionmentioning

confidence: 99%

“…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 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Pelc,

Kazubski,

Urbański

et al. 2024

JCM

View full text Add to dashboard Cite

Background: The biomechanical outcomes of intra-articular calcaneal fracture treatment have not been fully explored. The purpose of this study was to analyze pedobarographic assessments of balance and body weight distribution over the lower limbs in patients following calcaneal fracture treatment with the Ilizarov method and to compare the results with those of a control group. Materials and Methods: The data for our retrospective study came from cases of intra-articular calcaneal fractures treated with the Polish modification of the Ilizarov method in the period between 2021 and 2022. The experimental group (21 patients; 7 women, 14 men) included Sanders classification calcaneal fractures type 2 (n = 3), type 3 (n = 5), and type 4 (n = 13). The control group comprised 21 sex-matched healthy volunteers, with no significant differences from the experimental group in terms of age or BMI. The examination included an assessment of balance and weight distribution over the lower limbs. The device used was a FreeMED MAXI pedobarographic platform (SensorMedica). Results: The mean displacement of the center of gravity in the experimental group was significantly higher at 1307.31 mm than in the control group (896.34 mm; p = 0.038). The mean area of the center of gravity was not significantly different between the groups. An analysis of weight distribution over the operated and uninjured limb in the experimental group and the non-dominant and dominant limb, respectively, in the control group revealed no significant differences. We observed no significant differences in the percentage of weight distribution over the lower limbs between the operated limb in the experimental group and the non-dominant limb in the control group, or between the uninjured limb in the experimental group and the dominant limb in the control group. Conclusions: The use of the Ilizarov method in calcaneal fracture treatment helps normalize the percentage weight distribution in the lower limbs, with the results comparable with those obtained in the healthy control group. The mean displacement of the center of gravity was worse in the experimental group than in controls; whereas the mean area of the center of gravity was comparable between the two groups. Treatment of calcaneal fractures with the Ilizarov method does not help achieve completely normal static parameters of lower-limb biomechanics. Patients treated for calcaneal fractures with the Ilizarov method require longer and more intense rehabilitation and follow-up.

show abstract

Automatic analysis system of calcaneus radiograph: Rotation-invariant landmark detection for calcaneal angle measurement, fracture identification and fracture region segmentation

Guo

Deng³

et al. 2021

Computer Methods and Programs in Biomedicine

View full text Add to dashboard Cite

Comparison of Plantar Pressure Distribution During Walking After Two Different Surgical Treatments for Calcaneal Fracture

Cited by 10 publications

References 16 publications

Clinical assessments and gait analysis for patients with Trimalleolar fractures in the early postoperative period

Clinical assessments and gait analysis for patients with Trimalleolar fractures in the early postoperative period

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

Automatic analysis system of calcaneus radiograph: Rotation-invariant landmark detection for calcaneal angle measurement, fracture identification and fracture region segmentation

Contact Info

Product

Resources

About