Objective: To investigate the clinical outcome and gait analysis findings by dynamic pedobarography in patients following surgically treated single, closed, dislocated intra-articular calcaneal fractures.
Design: Retrospective single-center study with 26 patients. The average follow-up period was 34 months (range 18-61 months). We used the Zwipp score and a score based on a visual analog scale (VAS) to assess the subjective and objective clinical outcome. Dynamic pedobarography (EMED-M, 38 × 42 cm, four sensors per square centimeter, 50 Hz; Novel GmbH., Munich, Germany) was performed to retrieve gait patterns. Analysis was performed using the Emed-Software (Novel GmbH., Munich, Germany).
Results: For the Zwipp score (±200 points), the average was +54.4 points (±48.2); for the VAS score (0-100 points), the average was 58.3 points (±24.3). There was limited mobility in the upper and lower ankle joint. Pedobarography showed a clearly disturbed gait with increased pressure for the fractured side (157 vs. 119 kPa) in the midfoot region (71.8 vs. 68 kPa) and under fifth metatarsal bone (234 vs. 160 kPa). The gait line was lateralized. The force-time-integral (fractured vs. healthy side) showed significant differences for the medial (18 vs. 7 N s) and lateral (61 vs. 36 N s) midfoot region.
Conclusions: We found only an average clinical outcome and clear pathological gait patterns in our cohort with lateralization of the gait line.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00402-012-1655-8 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The Effect of Clinical Exercise Training on Plantar Pressure, the Subtalar Joint, and the Gait Cycle in Pregnant Women: Randomized Clinical Trial.
J Clin Med
December 2024
Gynecology And Obstetrics Department, Ege University, 35040 Izmir, Turkey.
: This study aims to examine the effects of clinical exercise training on foot plantar pressure, the subtalar joint, and the gait cycle during pregnancy. : The study was planned as a randomized, controlled, and single-blind study. Participants' demographic information, obstetric evaluation, physical activity level, fall history, and pain evaluation were recorded.
View Article and Find Full Text PDF[Insoles in the treatment of pes planovalgus : A prospective, randomised, double-blind, placebo-controlled comparative trial of sensomotoric and supportive insoles].
Orthopadie (Heidelb)
January 2025
Orthopädische Klinik und Poliklinik, Universitätsmedizin Rostock, Doberaner Str. 142, 18057, Rostock, Deutschland.
Background: In adults, flexible symptomatic flat foot is treated conservatively with supportive foot orthoses. Sensorimotor foot orthoses, however, are controversial due to insufficient data.
Purpose: Comparison of the effectiveness of sensorimotor and supportive foot orthoses in adults.
Comparative study of subtalar arthroereisis, medializing calcaneal osteotomy and the combination of both techniques for the treatment of symptomatic adult flatfeet.
Foot Ankle Surg
October 2024
Department of Trauma, Orthopaedic and Plastic Surgery, University Medical Center Goettingen, Goettingen, Germany. Electronic address:
Article Synopsis
- Surgical treatment of symptomatic adult flatfeet can be approached using three techniques: subtalar arthroereisis (SA), medializing calcaneal osteotomy (MDCO), and a combination of both (SA+MDCO).
- A study involving 32 patients showed significant improvements in radiological parameters and patient-reported outcomes (AOFAS and EFAS scores) for all surgical approaches after an average follow-up of six years.
- The combination of SA+MDCO yielded the best outcomes, particularly for patients with severe flatfoot deformities, while MDCO alone had lesser effectiveness.
Article Synopsis
- Charcot-Marie-Tooth disease (CMT) can lead to a foot deformity in children called cavovarus, which is traditionally thought to occur due to the first metatarsal being positioned lower than the fifth, creating what is known as the tripod effect.* -
- The study reviewed dynamic pedobarographic data from children with CMT to see if the first metatarsal always contacted the ground before the fifth metatarsal during walking, as previously suggested.* -
- Results showed that in a significant number of cases, the first metatarsal did not consistently contact the ground before the fifth, suggesting that many feet were already positioned in a varus state before contact, indicating a need for
Primary Isolated Arthrodesis of the First Metatarsophalangeal Joint for Hallux Rigidus: Clinical, Radiologic, and Pedobarographic Evaluation.
Foot Ankle Orthop
July 2024
la Clinique du Pied, Lausanne, Switzerland.
Background: Arthrodesis of the first metatarsophalangeal joint is an effective treatment of advanced hallux rigidus. Numerous options have been described for performing this intervention. The aim of this study was to evaluate the outcomes following a consistent surgical technique of joint preparation with hand tools and fixation with 2 crossed screws and a dorsal compression plate.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!