Functional limitations associated with end-stage ankle arthritis

The Journal of Bone and Joint Surgery. American Volume
Ava D SegalBruce J Sangeorzan

Abstract

Ankle arthritis, like hip and knee arthritis, has a substantial impact on patient function. Understanding the functional limitations of ankle arthritis may help to stratify treatment strategies. We measured the preoperative demographic characteristics, physical function, and self-assessed function of patients with end-stage ankle arthritis and identified correlations among these metrics. Participants wore a StepWatch 3 Activity Monitor for two weeks and completed the Musculoskeletal Function Assessment and Short Form-36 surveys. Gait kinematics and kinetics were also measured as participants walked at a self-selected pace. Musculoskeletal Function Assessment and Short Form-36 scores revealed reduced perceived function for patients with end-stage ankle arthritis compared with healthy controls. These patients also took fewer total steps per day, took fewer high-intensity steps, and chose to walk at a slower walking speed. Gait analysis revealed reduced ankle motion, peak ankle plantar flexor moment, peak ankle power absorbed, and peak ankle power generated for the affected limb compared with the unaffected limb. High-intensity step count was also correlated with both survey scores, walking speed, step length, peak ankle plantar f...Continue Reading

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Citations

Feb 25, 2014·The Medical Clinics of North America·Robert GrunfeldPaul Juliano
Sep 7, 2013·Foot and Ankle Clinics·Alexej BargVictor Valderrabano
Sep 7, 2013·Foot and Ankle Clinics·Corina NüeschVictor Valderrabano
Jan 19, 2017·The Journal of Bone and Joint Surgery. American Volume·Sagar J DesaiTimothy R Daniels
Aug 25, 2017·Foot & Ankle International·Daniel R SturnickJosh R Baxter
Jul 6, 2019·The Journal of Bone and Joint Surgery. American Volume·Jane B ShoferBruce J Sangeorzan
Jun 12, 2016·Clinical Orthopaedics and Related Research·Robin M QueenDaniel Schmitt
Nov 20, 2019·Clinical Rheumatology·Jasvinder A Singh, John D Cleveland
Jun 24, 2020·Clinical Orthopaedics and Related Research·Brandt C BucknerBruce J Sangeorzan
Mar 9, 2016·Journal of Rehabilitation and Assistive Technologies Engineering·Michael S OrendurffToshiki Kobayashi
Jun 22, 2014·The Journal of Bone and Joint Surgery. American Volume·Robin M QueenJames A Nunley
Nov 1, 2017·The Journal of Bone and Joint Surgery. American Volume·Marisa R BenichBruce J Sangeorzan
Feb 9, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Seiji KimuraSeiji Ohtori
Mar 10, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·T MalutaB Magnan

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