Gait analysis related to functional outcome in patients operated for ankle fractures

ABSTRACT Ankle fractures are among the most common lower limb fractures. Associations between postoperative radiographic results and clinical outcome have been found, but less is known about the relevant ankle biomechanics. This study analyzed ankle kinematics, radiographic findings, and patient‐rep...

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Bibliographic Details
Published in:Journal of orthopaedic research 2019-07, Vol.37 (7), p.1658-1666
Main Authors: van Hoeve, Sander, Houben, Michael, Verbruggen, Jan P. A. M., Willems, Paul, Meijer, Kenneth, Poeze, Martijn
Format: Article
Language:eng
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Summary:ABSTRACT Ankle fractures are among the most common lower limb fractures. Associations between postoperative radiographic results and clinical outcome have been found, but less is known about the relevant ankle biomechanics. This study analyzed ankle kinematics, radiographic findings, and patient‐reported outcome measures (PROM) in patients treated for ankle fractures. The hypothesis was that patients after ankle fracture surgery had less flexion/extension in the ankle compared to healthy subjects and that fracture severity had significant influence on kinematics and patient satisfaction. Thirty‐three patients (n = 33 feet) operated for ankle fractures were recruited. Ankle kinematics were analyzed using the Oxford Foot model, and results were compared with an age‐matched healthy control group (11 patients, 20 feet). In addition, patients were divided by fracture (severity) classification and kinematic results were correlated with PROM and radiographic findings. Patients treated for ankle fracture showed lower walking speed (p 
ISSN:0736-0266
1554-527X