Gait characteristics and functional outcomes during early follow-up are comparable in patients with calcaneal fractures treated by either the sinus tarsi or the extended lateral approach

Brand, Andreas; Klöpfer-Krämer, Isabella; Böttger, Moritz; Kröger, Inga; Gaul, Leander; Wackerle, Hannes; Müßig, Janina Anna; Dietrich, Andrea M.; Gabel, J.; Augat, Peter

doi:10.1016/j.gaitpost.2019.03.007

Cited by 11 publications

(15 citation statements)

References 30 publications

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“…Therefore, a compensatory ankle joint movement during locomotion may not entirely explain an increased fascicle lengthening during single support phase. In this context, the observed non-physiologic fascicle behavior might be more related to residual strength deficits of the plantar flexors that are frequently observed in patients with CF (Bozkurt et al, 2004;Brand et al, 2019). In our study, an indication of the decreased plantar flexor strength could be related to the severely diminished maximum ankle joint moments during the last third of stance phase especially three and six-months after surgery.…”

Section: Discussionmentioning

confidence: 47%

“…Thirteen patients were affected on the right side while seven patients were diagnosed with a fracture of the left side. All patients were part of a larger ongoing clinical study that analyses the biomechanical and functional outcome after calcaneal fractures (Brand et al, 2019). Sanders fracture classification revealed ten patients with a type II fracture consisting of one primary fracture line while the remaining patients had a type III fracture consisting of two main fracture lines (Beickert and Bühren, 2004).…”

Section: Participantsmentioning

confidence: 99%

See 1 more Smart Citation

Recovery of the medial gastrocnemius muscle after calcaneus fracture differs between contractile and elastic components.

Brand¹,

Kröger²,

Klöpfer-Krämer³

et al. 2022

Clinical Biomechanics

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Section: Discussionmentioning

confidence: 47%

Section: Participantsmentioning

confidence: 99%

Recovery of the medial gastrocnemius muscle after calcaneus fracture differs between contractile and elastic components.

Brand¹,

Kröger²,

Klöpfer-Krämer³

et al. 2022

Clinical Biomechanics

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“…Moreover, the study results showed that the total incidence rate of postoperative complications was remarkably lower in group B than in group A (P < 0.05), and the reason may be that plate internal fixation uses the steel plate to stabilize the anterior and posterior pelvic ring for reconstruction, so as to restore fracture reduction and associated site function with the help of the plate. Some studies have pointed out (21,22) that plate internal fixation, although has a good effect, can easily induce damage to soft tissues and nerve tissues and increase the chance of postoperative complications because of the large intraoperative incision and high impact on the body and some soft tissues. Whereas external fixator treatment is highly adjustable because the angulation can be adjusted by the attachment of fixators, which greatly reduces the occurrence of complications and allows the patient to turn over after surgery, alleviates decubital ulcers resulting from prolonged bed rest, and makes nursing more convenient.…”

Section: Discussionmentioning

confidence: 99%

Application of Smart Healthcare in Comparative Analysis of Effect of Early External Fixator and Plate Internal Fixation Treatment on Postoperative Complications and Lower Limb Function Recovery of Patients With Unstable Pelvic Fracture

Zhang

Sun

2022

Front. Public Health

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ObjectiveTo comparatively analyze the effect of early external fixator and plate internal fixation treatment on postoperative complications and lower limb function recovery of patients with unstable pelvic fracture based on smart healthcare.MethodsThe clinical data of 98 patients with unstable pelvic fractures treated in our hospital from August 2018 to August 2021 were collected for retrospective analysis, and the patients were split into group A (plate internal fixation, n = 49) and group B (early external fixator treatment, n = 49) according to the surgical modalities. The time of operation, intraoperative blood loss, postoperative complications, etc. were compared between the two groups.ResultsBetween the two groups, group B had significantly better clinical indicators (P < 0.001), a greatly higher good rate of fracture reduction and postoperative Harris score (P < 0.05), and obviously lower VAS score and total incidence rate of postoperative complications (P < 0.05).ConclusionThrough the analysis based on smart healthcare, it is found that compared with plate internal fixation treatment, early external fixator treatment presents a better effect in treating patients with unstable pelvic fracture, because it is a reliable method to accelerate fracture healing, reduce postoperative complications, and improve lower limb function.

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“…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%

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

Pelc,

Kazubski,

Urbański

et al. 2024

JCM

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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.

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Gait characteristics and functional outcomes during early follow-up are comparable in patients with calcaneal fractures treated by either the sinus tarsi or the extended lateral approach

Cited by 11 publications

References 30 publications

Recovery of the medial gastrocnemius muscle after calcaneus fracture differs between contractile and elastic components.

Recovery of the medial gastrocnemius muscle after calcaneus fracture differs between contractile and elastic components.

Application of Smart Healthcare in Comparative Analysis of Effect of Early External Fixator and Plate Internal Fixation Treatment on Postoperative Complications and Lower Limb Function Recovery of Patients With Unstable Pelvic Fracture

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

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