Long-term pathological gait pattern changes after talus fractures - dynamic measurements with a new insole

International Orthopaedics
Benedikt J BraunTim Pohlemann

Abstract

The aim of the current study was to describe long-term gait changes after talus fractures, identify patterns associated with poor outcome and discuss possible treatment options based on dynamic gait analysis. Twenty-seven patients were followed-up clinically and via gait analysis after talus fracture osteosynthesis. Continuous dynamic pedobarography with a gait analysis insole was performed on a standardized parcours consisting of different gait tasks and matched to the outcome. Mean follow-up was 78.3 months (range 21-150), mean AOFAS and Olerud-Molander scores 66 (range 20-100) and 54 (range 15-100). Significant correlations between fracture classification and osteoarthritis (Hawkins: rs = 0.67 / Marti-Weber: rs = 0.5) as well as several gait differences between injured and healthy foot with correlations to outcome were seen: decreased step load-integral/maximum-load; associations between centre-of-pressure displacement and outcome as well as between temporospatial measures and outcome. Overall, pressure-distribution was lateralized in patients with subtalar joint injury (Δ: 0.5765 N/cm2, p = 0.0475). Talus fractures lead to chronic gait changes and restricted function. Dynamic pedobarography can identify patterns associated ...Continue Reading

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Aug 13, 2020·Animals : an Open Access Journal From MDPI·Bianca ReicherBarbara Bockstahler
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Nov 27, 2019·Injury·Isabella Klöpfer-KrämerPeter Augat

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