Torsional profile versus gait analysis: consistency between the anatomic torsion and the resulting gait pattern in patients with rotational malalignment of the lower extremity

Gait & Posture
Christof RadlerFranz Grill

Abstract

Measurements of femoral and tibial torsion obtained from radiographs or computed tomographic scans have been used to describe rotational malalignment of the lower extremities and to clarify indications for surgery. A weak relationship between anatomic torsion deformity and the resulting transverse plane gait pattern in patients with cerebral palsy has been described, but the observations have not yet been tested in an able-bodied patient population. We conducted a prospective study to investigate the correlation of femoral torsion and tibial torsion as measured by using computed tomography with transverse plane gait data for patients with rotational malalignment. Twenty-six lower limbs from 26 patients selected for surgery based on gait analysis were evaluated. Calculation of Pearson correlations showed that increase of femoral anteversion resulted in increase of pelvic range of motion. A very weak correlation between femoral torsion and hip rotation (determination coefficient, R(2)=0.22) was found in a linear regression model, whereas tibial torsion and knee rotation showed a strong correlation (determination coefficient, R(2)=0.71). The correlation between the foot progression angle and tibial torsion was higher than between ...Continue Reading

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Citations

Oct 7, 2014·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Marina Bruderer-HofstetterRegina Wegener
Nov 13, 2014·Clinical Orthopaedics and Related Research·Christof Radler
Sep 13, 2016·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Sebastian FarrRudolf Ganger
Apr 24, 2018·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Kyu-Jin ChoTaek-Rim Yoon
Dec 21, 2011·Clinical Orthopaedics and Related Research·Michael AionaRosemary Pierce
Jan 10, 2019·JBJS Reviews·Jordan A GruskayS Robert Rozbruch
Jan 10, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Peter K SculcoS Robert Rozbruch
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Jun 20, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jung-Ro YoonJae-Hyuk Yang
May 16, 2019·Der Orthopäde·D Grisch, T Dreher
Jan 10, 2021·Current Reviews in Musculoskeletal Medicine·Martyn Snow
Jul 21, 2020·Gait & Posture·Gabriel T MindlerAdalbert Raimann
Jul 14, 2021·Archives of Orthopaedic and Trauma Surgery·M PietschTh Hofstädter
Jun 12, 2021·Journal of Biomechanical Engineering·Andżelika Pajchert KozłowskaPiotr Morasiewicz
Aug 26, 2021·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Andreas GeisbüschThomas Dreher

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