Gait Analysis and Functional Outcome After Calcaneal Fracture

Hoeve, Sander van; Vos, J. De; Verbruggen, J.P.A.M.; Willems, P; Meijer, Kenneth; Poeze, Martijn

doi:10.2106/jbjs.n.01279

Cited by 55 publications

(35 citation statements)

References 28 publications

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“…The VICON system comprises eight cameras (6 MX3 and 2 T20, running at 200 Hz) for the detection of markers placed on the skin of the lower extremity. The markers were placed on specific anatomic points on the subjects using regular double‐sided tape, according to the guidelines for the OFM . A 10‐m platform was used for patients and healthy subjects to walk on, with the force platform (Kistler 9282E) in the middle.…”

Section: Methodsmentioning

confidence: 99%

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Gait analysis related to functional outcome in patients operated for ankle fractures

Hoeve

Houben

Verbruggen

et al. 2019

Journal Orthopaedic Research

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Ankle fractures are among the most common lower limb fractures. Associations between postoperative radiographic results and clinical outcome have been found, but less is known about the relevant ankle biomechanics. This study analysed ankle kinematics, radiographic findings and patient-reported outcome measures (PROM) in patients treated for ankle fractures. The hypothesis was that patients after ankle fracture surgery had less flexion/extension in the ankle compared to healthy subjects and that fracture severity had significant influence on kinematics and patient satisfaction. Thirty-three patients (n=33 feet) operated for ankle fractures were recruited. Ankle kinematics were analysed using the Oxford Foot model, and results were compared with an age-matched healthy control group (11 patients, 20 feet). In addition, patients were divided by fracture (severity) classification and kinematic results were correlated with PROM and radiographic findings. Patients treated for ankle fracture showed lower walking speed (p<0.001) when asked to walk in preferred normal speed. When compared at equal speed, significantly less range of motion (ROM) between the hindfoot and tibia in the sagittal plane (flexion/extension) during loading and push-off phases (p=0.003 and p<0.001) was found in patients after ankle fractures compared to healthy subjects. Lowest ROM and poorest PROM results were found for patients with trimalleolar ankle fractures. There was a significant correlation between ROM (flexion/extension) during the push-off phase and SF-36 physical functioning (r =0.403, p=0.027) and SF-36 general health (r =0.473, p=0.008). Fracture severity was significantly correlated with flexion/extension ROM in the ankle during both loading and push-off phases (r =-0.382, p=0.005, and r =-0.568, p<0.001) and was also significantly correlated with PROM. This study found that patients with ankle fractures had significantly altered ankle kinematics compared to healthy subjects. The poorest results were found among patients with trimalleolar fractures. Weak to strong significant correlations were found between fracture severity, ankle kinematics and PROM. This article is protected by copyright. All rights reserved.

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Section: Methodsmentioning

confidence: 99%

“…This was performed by two observers blinded for other results in this study. The kinematic analysis was performed following the OFM protocol described in detail in our previous studies . Patients and healthy subjects were asked to walk in self‐selected normal, slow, and fast speed.…”

Section: Methodsmentioning

confidence: 99%

Gait analysis related to functional outcome in patients operated for ankle fractures

Hoeve

Houben

Verbruggen

et al. 2019

Journal Orthopaedic Research

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“…Calcaneal fractures occur with a reported incidence that varies from 11.5 to 13.7 per 100,000 persons per year [1][2][3]. These fractures are known, among orthopaedic healthcare providers, to influence gait and functional outcome negatively [4,5]; moreover, these patients experience a lower quality of life than the general population [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

“…In order to evaluate patients' experiences with their outcome after a calcaneal fracture, patient-reported outcomes should be utilized [9]. Several studies have reported patient-reported outcomes [4,7,8]; however, most studies were performed in trauma level I patients. As a result, there is insufficient information in the current literature that includes trauma level II patients.…”

Section: Introductionmentioning

confidence: 99%

Association of pre-treatment radiographic characteristics of calcaneal fractures on patient-reported outcomes

Alexandridis

Gunning

Olden

et al. 2018

International Orthopaedics (SICOT)

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“…One study did calculate correlations between Böhler’s angle and patient-reported outcome measures and ROM during gait. No correlation was found 27. However, it is not clear how they performed their statistical analysis.…”

Section: Discussionmentioning

confidence: 91%

Combat-related foot injuries: impact on gait and functional outcome

Kruijff¹,

Prins

Krans

et al. 2018

J R Army Med Corps

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Gait Analysis and Functional Outcome After Calcaneal Fracture

Abstract: This study demonstrated that the subtalar joint range of motion of patients after a calcaneal fracture was related both to the quality of the reduction of the subtalar joint as evaluated on postoperative CT scans and patient-reported functional outcome.

Cited by 55 publications

References 28 publications

Gait analysis related to functional outcome in patients operated for ankle fractures

Gait analysis related to functional outcome in patients operated for ankle fractures

Association of pre-treatment radiographic characteristics of calcaneal fractures on patient-reported outcomes

Combat-related foot injuries: impact on gait and functional outcome

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