Gait analysis and clinical outcome in patients after pilon fracture surgery

Michaël Houben; Sander van Hoeve; Bernard S Leenstra; Paul Willems; Kenneth Meijer; Martijn Poeze

doi:10.1016/j.fas.2022.04.002

Gait analysis and clinical outcome in patients after pilon fracture surgery

Michaël Houben^*, Sander van Hoeve, Bernard S Leenstra, Paul Willems, Kenneth Meijer, Martijn Poeze

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: In this study kinematic parameters, radiographic findings and PROM in pilon fractures after operative treatment were compared with healthy subjects.

METHODS: 16 patients treated with osteosynthesis after pilon fracture underwent kinematic analysis with the OFM. Fractures were evaluated for post-operative step-off and gap on CT-scans and PROM were collected. Results were compared to 10 healthy persons.

RESULTS: Range of motion (ROM) crural was lower in the flexion/extension for pilon fractures (10.03 vs. 13.15, p = 0.017). The ROM in the inversion/eversion was low, but ROM in the abduction/adduction was higher. Correlations were found between flexion/extension and AO-classification (r = -0.357 p < 0.05), PROM score of the AOFAS (r = 0.445 p < 0.01), post-operative gap and step-off in the tibia plafond.

CONCLUSION: Pilon fractures showed decreased ROM between the hindfoot and tibia in the sagittal and transverse plane, but increased ROM in the frontal plane during push-off phase as compensatory kinetics. ROM showed significant correlations with PROM and intra-articular step-off and gap in the tibia plafond.

Original language	English
Pages (from-to)	1229-1234
Number of pages	6
Journal	Foot and Ankle Surgery
Volume	28
Issue number	8
Early online date	22 Apr 2022
DOIs	https://doi.org/10.1016/j.fas.2022.04.002
Publication status	Published - Dec 2022

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@article{d72a98b397ce4cbb8f5bf22d0191797f,

title = "Gait analysis and clinical outcome in patients after pilon fracture surgery",

abstract = "BACKGROUND: In this study kinematic parameters, radiographic findings and PROM in pilon fractures after operative treatment were compared with healthy subjects.METHODS: 16 patients treated with osteosynthesis after pilon fracture underwent kinematic analysis with the OFM. Fractures were evaluated for post-operative step-off and gap on CT-scans and PROM were collected. Results were compared to 10 healthy persons.RESULTS: Range of motion (ROM) crural was lower in the flexion/extension for pilon fractures (10.03 vs. 13.15, p = 0.017). The ROM in the inversion/eversion was low, but ROM in the abduction/adduction was higher. Correlations were found between flexion/extension and AO-classification (r = -0.357 p < 0.05), PROM score of the AOFAS (r = 0.445 p < 0.01), post-operative gap and step-off in the tibia plafond.CONCLUSION: Pilon fractures showed decreased ROM between the hindfoot and tibia in the sagittal and transverse plane, but increased ROM in the frontal plane during push-off phase as compensatory kinetics. ROM showed significant correlations with PROM and intra-articular step-off and gap in the tibia plafond.",

author = "Micha{\"e}l Houben and {van Hoeve}, Sander and Leenstra, {Bernard S} and Paul Willems and Kenneth Meijer and Martijn Poeze",

year = "2022",

month = dec,

doi = "10.1016/j.fas.2022.04.002",

language = "English",

volume = "28",

pages = "1229--1234",

journal = "Foot and Ankle Surgery",

issn = "1268-7731",

publisher = "Elsevier Science",

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TY - JOUR

T1 - Gait analysis and clinical outcome in patients after pilon fracture surgery

AU - Houben, Michaël

AU - van Hoeve, Sander

AU - Leenstra, Bernard S

AU - Willems, Paul

AU - Meijer, Kenneth

AU - Poeze, Martijn

PY - 2022/12

Y1 - 2022/12

N2 - BACKGROUND: In this study kinematic parameters, radiographic findings and PROM in pilon fractures after operative treatment were compared with healthy subjects.METHODS: 16 patients treated with osteosynthesis after pilon fracture underwent kinematic analysis with the OFM. Fractures were evaluated for post-operative step-off and gap on CT-scans and PROM were collected. Results were compared to 10 healthy persons.RESULTS: Range of motion (ROM) crural was lower in the flexion/extension for pilon fractures (10.03 vs. 13.15, p = 0.017). The ROM in the inversion/eversion was low, but ROM in the abduction/adduction was higher. Correlations were found between flexion/extension and AO-classification (r = -0.357 p < 0.05), PROM score of the AOFAS (r = 0.445 p < 0.01), post-operative gap and step-off in the tibia plafond.CONCLUSION: Pilon fractures showed decreased ROM between the hindfoot and tibia in the sagittal and transverse plane, but increased ROM in the frontal plane during push-off phase as compensatory kinetics. ROM showed significant correlations with PROM and intra-articular step-off and gap in the tibia plafond.

AB - BACKGROUND: In this study kinematic parameters, radiographic findings and PROM in pilon fractures after operative treatment were compared with healthy subjects.METHODS: 16 patients treated with osteosynthesis after pilon fracture underwent kinematic analysis with the OFM. Fractures were evaluated for post-operative step-off and gap on CT-scans and PROM were collected. Results were compared to 10 healthy persons.RESULTS: Range of motion (ROM) crural was lower in the flexion/extension for pilon fractures (10.03 vs. 13.15, p = 0.017). The ROM in the inversion/eversion was low, but ROM in the abduction/adduction was higher. Correlations were found between flexion/extension and AO-classification (r = -0.357 p < 0.05), PROM score of the AOFAS (r = 0.445 p < 0.01), post-operative gap and step-off in the tibia plafond.CONCLUSION: Pilon fractures showed decreased ROM between the hindfoot and tibia in the sagittal and transverse plane, but increased ROM in the frontal plane during push-off phase as compensatory kinetics. ROM showed significant correlations with PROM and intra-articular step-off and gap in the tibia plafond.

U2 - 10.1016/j.fas.2022.04.002

DO - 10.1016/j.fas.2022.04.002

M3 - Article

C2 - 35562225

SN - 1268-7731

VL - 28

SP - 1229

EP - 1234

JO - Foot and Ankle Surgery

JF - Foot and Ankle Surgery

IS - 8

ER -

Gait analysis and clinical outcome in patients after pilon fracture surgery

Abstract

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