Postoperative lower limb joint kinematics following tibial plateau fracture: A 2-year longitudinal study

Bennett, Kieran; Millar, Stuart C.; Fraysse, François; Arnold, John B.; Atkins, Gerald J.; Solomon, Lucian B.; Martelli, Saulo; Thewlis, Dominic

doi:10.1016/j.gaitpost.2020.10.005

Cited by 7 publications

(5 citation statements)

References 28 publications

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“…Moreover, the location of the fracture might influence which joint kinematics return (faster) to control-like values and which remain altered. In patients with a proximal tibial fracture, the maximum knee flexion angle during the swing phase remained lower compared to controls after two years [23], whereas in patients with a tibial shaft fracture, the knee flexion during the swing phase returned close to normal in the first three months after surgery [35].…”

Section: Kinematicsmentioning

confidence: 78%

“…To measure kinematics, several technical solutions are available. To date, the gold standard is 3D optical motion capture systems that assess the exact position of markers located on the body and their position changes during movement in the 3D space [23,35,47]. There are also systems available that can be more easily used outside of the lab, such as IMUs, [27] and markerless motion capture based on video data [59].…”

Section: Kinematicsmentioning

confidence: 99%

Section: Kinematicsmentioning

confidence: 99%

“…We found two studies that analyzed joint kinematics during walking more than once during the healing process after tibial fractures [23,35]. In one study with proximal tibial fractures, 18 patients were measured six times in the two years after the fracture [23]. This study showed that the hip functions had already returned to a normal pattern after six weeks, whereas for the knee and ankle, it took 26 weeks to function close to a normal pattern.…”

Section: Kinematicsmentioning

confidence: 99%

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Gait Analysis to Monitor Fracture Healing of the Lower Leg

et al. 2023

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Fracture healing is typically monitored by infrequent radiographs. Radiographs come at the cost of radiation exposure and reflect fracture healing with a time lag due to delayed fracture mineralization following increases in stiffness. Since union problems frequently occur after fractures, better and timelier methods to monitor the healing process are required. In this review, we provide an overview of the changes in gait parameters following lower leg fractures to investigate whether gait analysis can be used to monitor fracture healing. Studies assessing gait after lower leg fractures that were treated either surgically or conservatively were included. Spatiotemporal gait parameters, kinematics, kinetics, and pedography showed improvements in the gait pattern throughout the healing process of lower leg fractures. Especially gait speed and asymmetry measures have a high potential to monitor fracture healing. Pedographic measurements showed differences in gait between patients with and without union. No literature was available for other gait measures, but it is expected that further parameters reflect progress in bone healing. In conclusion, gait analysis seems to be a valuable tool for monitoring the healing process and predicting the occurrence of non-union of lower leg fractures.

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Section: Kinematicsmentioning

confidence: 78%

Section: Kinematicsmentioning

confidence: 99%

Section: Kinematicsmentioning

confidence: 99%

Section: Kinematicsmentioning

confidence: 99%

See 2 more Smart Citations

Gait Analysis to Monitor Fracture Healing of the Lower Leg

et al. 2023

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“…There are few studies reporting characteristics of gait, i.e., spatiotemporal parameters, ground reaction forces, kinematics, and/or kinetics in patients with a previous TPF [ 13 – 19 ]. These studies differ with regard to the design (prospective, retrospective, single or multiple assessments) and the number of patients investigated ranged from 9 to 25.…”

Section: Discussionmentioning

confidence: 99%

Functional assessment and outcome following surgical treatment of displaced tibial plateau fractures: a retrospective analysis

Gahr,

Mittlmeier,

Grau

et al. 2023

Eur J Trauma Emerg Surg

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Purpose Patients with tibial plateau fractures (TPF) are at risk of long-term hampered bipedal locomotion. A retrospective single-center study using patient-related outcome measures and a sophisticated assessment of walking abilities was conducted. Methods Adults receiving surgical treatment of an isolated TPF between January 2012 and December 2016 received the KOOS questionnaire together with the invitation for an extensive follow-up examination on the clinical outcome including standardized assessment of the walking abilities (loadsol® system). Outcome was assessed relative to the severity of the injury or time to follow-up. Fractures were classified according to AO/OTA and Luo, respectively. Results 58 out of 132 eligible patients filled in the questionnaire and participated at a median follow-up of 3.05 years after injury. For the categories “pain”, “mobility”, and “daily life activities”, all patients were rather satisfied and this was virtually not related to the time between fracture and assessment. Relevant limitations were reported for “sports and recreational activities” and “quality of life”. Loading of the previously fractured leg was most evidently changed on stairs and outdoor walking. Outcome was not related to either fracture type severity or time from injury. Conclusion Outcome after an isolated TPF is neither related to fracture type, severity of the fracture nor time from injury. Simple gait analysis techniques relying on different tasks appear to yield a more sophisticated image on functional deficits after TPF than classical exam of ground-level walking and correlate quite well with validated patient-related outcome measures as the KOOS.

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Foot kinematics and leg muscle activation patterns are altered in those with limited ankle dorsiflexion range of motion during incline walking

Kwon

Shin

2022

Gait & Posture

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Postoperative lower limb joint kinematics following tibial plateau fracture: A 2-year longitudinal study

Cited by 7 publications

References 28 publications

Gait Analysis to Monitor Fracture Healing of the Lower Leg

Gait Analysis to Monitor Fracture Healing of the Lower Leg

Functional assessment and outcome following surgical treatment of displaced tibial plateau fractures: a retrospective analysis

Foot kinematics and leg muscle activation patterns are altered in those with limited ankle dorsiflexion range of motion during incline walking

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