Extensile vs. limited approach for the treatment of calcaneal fractures pedobarographic gait analysis

Kód výsledku v IS VaVaI

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Výsledek na webu

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DOI - Digital Object Identifier

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Jazyk výsledku

angličtina

Název v původním jazyce

Extensile vs. limited approach for the treatment of calcaneal fractures pedobarographic gait analysis

Popis výsledku v původním jazyce

Introduction: Extensile lateral approach is the standard surgical approach for the treatment of intraarticular calcaneal fractures. The disadvatage of this approach is a high risk of wound healing problems.Less invasive approaches minimize this risks, however the possibility of fracture reduction is more tricky.The aim of the study was to compare the extensile lateral and limited sinus tarsi approach in treating of calcaneal fractures from the perspective of early functional results using pedobarographic gait analysis. Material and methods: Twenty two patients treated for unilateralcalcaneal fracture were devided into 2 groups according to used surgical approach. No other disorders of the gait and axial system prior injury was known. Pedobarographic gait analysis using an Emed-c system (Novel, DE) was performed 6 month after surgery. The observed factors were as follows: C.T. (ms)………Contact time total P.P. (kPa)……. Peak Pressure total Fmax (N)……..Maximal Force C.T.heel-total(ms)……Contact time of the heel total P.P. heel (kPa)……. Peak Pressure under the heel Results: Constant changes between injured and healthy foot were observed in all patients: lateral shift of centre of pressure line(COP), shortening of C.T. heel, decrease of P.P. under the affected foot. On the other hand no significant differences in these parameters between the two groups were observed. Conclusion: Pedobarographic gait analysis is suitable method for the monitoring of the changes in the dynamic parameters of gait. Limited surgical approaches in the treatment of calcaneal fractures give comparable early functional results as when using extensile lateral approach.

Název v anglickém jazyce

Extensile vs. limited approach for the treatment of calcaneal fractures pedobarographic gait analysis

Popis výsledku anglicky

Introduction: Extensile lateral approach is the standard surgical approach for the treatment of intraarticular calcaneal fractures. The disadvatage of this approach is a high risk of wound healing problems.Less invasive approaches minimize this risks, however the possibility of fracture reduction is more tricky.The aim of the study was to compare the extensile lateral and limited sinus tarsi approach in treating of calcaneal fractures from the perspective of early functional results using pedobarographic gait analysis. Material and methods: Twenty two patients treated for unilateralcalcaneal fracture were devided into 2 groups according to used surgical approach. No other disorders of the gait and axial system prior injury was known. Pedobarographic gait analysis using an Emed-c system (Novel, DE) was performed 6 month after surgery. The observed factors were as follows: C.T. (ms)………Contact time total P.P. (kPa)……. Peak Pressure total Fmax (N)……..Maximal Force C.T.heel-total(ms)……Contact time of the heel total P.P. heel (kPa)……. Peak Pressure under the heel Results: Constant changes between injured and healthy foot were observed in all patients: lateral shift of centre of pressure line(COP), shortening of C.T. heel, decrease of P.P. under the affected foot. On the other hand no significant differences in these parameters between the two groups were observed. Conclusion: Pedobarographic gait analysis is suitable method for the monitoring of the changes in the dynamic parameters of gait. Limited surgical approaches in the treatment of calcaneal fractures give comparable early functional results as when using extensile lateral approach.

Druh

O - Ostatní výsledky

CEP obor

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OECD FORD obor

30211 - Orthopaedics

Projekt

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Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2017

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů