Dynamic Gait Parameters in Patients With Nonunion of the Tibia Following Treatment With the Ilizarov Method.

Ilizarov Technique

Journal

Journal of biomechanical engineering
ISSN: 1528-8951
Titre abrégé: J Biomech Eng
Pays: United States
ID NLM: 7909584

Informations de publication

Date de publication:
01 11 2021
Historique:
received: 06 09 2020
pubmed: 12 6 2021
medline: 11 3 2022
entrez: 11 6 2021
Statut: ppublish

Résumé

The purpose of this study was a comprehensive assessment of the dynamic parameters of gait in patients who underwent Ilizarov treatment for nonunion of the tibia. The experimental group consisted of 24 individuals treated with the Ilizarov method for nonunion of the tibia. The control group comprised 31 healthy individuals, matched for BMI, sex, and age. The dynamic gait parameters in patients and in the control group were measured with a Zebris pedobarographic platform. The treatment group and the control group showed statistically significant differences in terms of the following gait parameters: maximum force during braking nonoperated-limb (NOL), time maximum force during braking operated-limb (OL), time maximum force during braking NOL, maximum force during push-off NOL, time maximum force during push-off OL, and maximum force forefoot OL. Most of the evaluated gait parameters were bilaterally similar in patients group. The only significant differences between the operated and nonoperated limb were seen in terms of Time maximum force during push-off and Maximum force forefoot. The most pronounced abnormalities in dynamic gait parameters were observed in the forefoot (maximum force forefoot OL was 13.3% lower than in the control group, maximum force forefoot OL was 12.4% lower than in NOL). The patients treated with the Ilizarov method did not achieve a complete normalization of dynamic gait parameters, as their gait parameters did not equal those measured in the control group. The Ilizarov method for the treatment of tibial nonunion helps restore a symmetrical distribution of gait parameter values between the affected limb and the healthy limb. Patients continue to show the following abnormalities in their dynamic gait parameters after treatment: higher values maximum force during braking NOL, Time maximum force during braking OL, time maximum force during braking NOL, maximum force during push-off NOL, contact time forefoot NOL, contact time midfoot NOL, contact time heel NOL and smaller values of time maximum force during push-off OL.

Identifiants

DOI: 10.1115/1.4051432 PMID: 34114601
pubmed: 34114601
pii: 1111091
doi: 10.1115/1.4051432
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2021 by ASME.

Auteurs

Andżelika Pajchert Kozłowska (A)

Department and Clinic of Orthopaedic and Traumatologic Surgery, Wroclaw Medical University, Borowska 213, Wroclaw 50-556, Poland.

Łukasz Pawik (Ł)

Department of Physiotherapy in Motor Disorders and Dysfunctions, University School of Physical Education in Wroclaw, Al. IJ Paderewskiego 35, Wroclaw 50-556, Poland.

Łukasz Szelerski (Ł)

Department of Orthopedics and Musculoskeletal Traumatology, Medical University of Warsaw, Lindeya 4, Warszawa 02-005, Poland.

Sławomir Żarek (S)

Department of Orthopedics and Musculoskeletal Traumatology, Medical University of Warsaw, Lindeya 4, Warszawa 02-005, Poland.

Radosław Górski (R)

Department of Orthopedics and Musculoskeletal Traumatology, Medical University of Warsaw, Lindeya 4, Warszawa 02-005, Poland.

Malwina Pawik (M)

Health Promotion, Faculty of Physiotherapy, University School of Physical Education, Wroclaw, Al. IJ Paderewskiego 35, Wroclaw 51-612, Poland.

Felicja Fink-Lwow (F)

Health Promotion, Faculty of Physiotherapy, University School of Physical Education, Wroclaw, Al. IJ Paderewskiego 35, Wroclaw 51-612, Poland.

Wiktor Urbański (W)

Department and Clinic of Neurosurgery, Wroclaw Medical University, Borowska 213, Wroclaw 50-556, Poland.

Piotr Morasiewicz (P)

Department and Clinic of Orthopaedic and Traumatologic Surgery, Wroclaw Medical University, Borowska 213, Wroclaw 50-556, Poland; Department of Orthopaedic and Traumatologic Surgery, Institute of Medical Sciences, University of Opole, al. Witosa 26, Opole, Wroclaw 45-401, Poland.

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Classifications MeSH

questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures orthopédiques › Allongement osseux › Technique d'Ilizarov › Dynamic Gait Parameters in Patients With...