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Spectral parameters of gait differentiate diabetic patients from healthy individuals 步态的光谱参数将糖尿病患者与健康人区分开来。
Foot Pub Date : 2023-09-01 DOI: 10.1016/j.foot.2023.102038
Mario Inacio , Patrick Esser , Junxian Li , Lei Xu , Hui Zeng , Rui He , Helen Dawes , Fang Liu
{"title":"Spectral parameters of gait differentiate diabetic patients from healthy individuals","authors":"Mario Inacio ,&nbsp;Patrick Esser ,&nbsp;Junxian Li ,&nbsp;Lei Xu ,&nbsp;Hui Zeng ,&nbsp;Rui He ,&nbsp;Helen Dawes ,&nbsp;Fang Liu","doi":"10.1016/j.foot.2023.102038","DOIUrl":"10.1016/j.foot.2023.102038","url":null,"abstract":"<div><h3>Background</h3><p>Diabetes mellitus (DM) is a clinical condition that affects gait performance and control in millions of individuals worldwide. Contrary to basic spatiotemporal parameters, gait-based spectral analysis may provide useful insights into gait neuromotor control. Hence, this study was set to investigate the spectral content of gait at the preferred speed in patients with DM.</p></div><div><h3>Methods</h3><p>Total 1117 individuals [658 DM and 649 healthy adults (HA)] performed a 10 m walk while wearing an inertial measurement unit over the fourth lumbar vertebra. Mann-Whitney-U test was used for between-group gait parameters comparisons.</p></div><div><h3>Results</h3><p>DM group had a slower step time (1.2%, <em>p</em> &lt; 0.05) and gait speed (2.4%, <em>p</em> &lt; 0.05) than HA. Additionally, DM individuals showed reduced dominant frequency (DM:0.24 <em>Hz vs</em> HA:0.25 <em>Hz o</em>n average, <em>p</em> &lt; 0.05). Increased antero-posterior and vertical dominant frequency width (DM:1.73 <em>Hz vs</em> HA:1.76 <em>Hz o</em>n average, <em>p</em> &lt; 0.05) and medio-lateral relative power spectral density at the dominant frequency (DM:6.19% <em>vs</em> HA:5.96%, <em>p</em> &lt; 0.05).</p></div><div><h3>Conclusions</h3><p>It was demonstrated for the first time that the gait spectral content, not only corroborates spatiotemporal characteristics, but also provides further insight into their neuromotor control deficits in diabetic patients. Ultimately, this type of analysis in the diabetic population can help guide the therapeutic interventions to prevent diabetic foot.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 102038"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9486535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Plantar fascia stiffness in patients with type 2 diabetes mellitus: Stiffness effect on fall risk and gait speed 2型糖尿病患者足底筋膜僵硬:僵硬对跌倒风险和步态速度的影响。
Foot Pub Date : 2023-09-01 DOI: 10.1016/j.foot.2023.102020
Rumeysa Çakici , Tülay Çevik Saldiran , İlke Kara , Hasan Açik
{"title":"Plantar fascia stiffness in patients with type 2 diabetes mellitus: Stiffness effect on fall risk and gait speed","authors":"Rumeysa Çakici ,&nbsp;Tülay Çevik Saldiran ,&nbsp;İlke Kara ,&nbsp;Hasan Açik","doi":"10.1016/j.foot.2023.102020","DOIUrl":"10.1016/j.foot.2023.102020","url":null,"abstract":"<div><h3>Aims</h3><p>The primary objective was to compare patients with type 2 diabetes mellitus (T2DM) and healthy peers in terms of plantar fascia (PF) stiffness, fall risk, and gait speed. The second objective was to examine the relationship between stiffness of PF and fall risk, gait speed.</p></div><div><h3>Methods</h3><p>Fifty patients diagnosed with T2DM (mean duration = 10.74 ± 7.07 years) were included. Myotonometer was used to evaluate the stiffness of PF. To assess the risk of falling, and gait speed, the International Fall Efficiency Scale (FES-I) and the 4-Meter Gait Speed Test (4mGST) were used, respectively.</p></div><div><h3>Results</h3><p>Compared to healthy controls, PF stiffness (right foot mean difference = 148.99 N/m, left foot mean difference = 113.13 N/m p &lt; .001) was higher in the T2DM group. The FES-I and 4mGST scores were worse in the group with T2DM (p &lt; .05). 12.8 % of FES-I and 23.4 % of 4mGST variance were explained by stiffness of PF.</p></div><div><h3>Conclusions</h3><p>The results of the study showed that the stiffness of PF changed in patients with T2DM. There was a decrease in gait speed and an increase in the risk of falling as PF stiffness increased.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 102020"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9573177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of neuromuscular and vestibular-ocular reflex training program on balance, isokinetic muscle strength and proprioception in people with chronic ankle instability 神经肌肉和前庭眼反射训练项目对慢性踝关节不稳定患者平衡、等速肌力和本体感觉的影响。
Foot Pub Date : 2023-09-01 DOI: 10.1016/j.foot.2023.101992
Nilüfer Cerbezer , Elif Tuğçe Çil , Feryal Subaşı
{"title":"The effect of neuromuscular and vestibular-ocular reflex training program on balance, isokinetic muscle strength and proprioception in people with chronic ankle instability","authors":"Nilüfer Cerbezer ,&nbsp;Elif Tuğçe Çil ,&nbsp;Feryal Subaşı","doi":"10.1016/j.foot.2023.101992","DOIUrl":"10.1016/j.foot.2023.101992","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to compare and investigate the effectiveness of neuromuscular exercise combined with vestibular-ocular reflex training and only neuromuscular exercise training on balance, isokinetic muscle strength, and proprioception in chronic ankle instability (CAI).</p></div><div><h3>Method</h3><p>The study included 20 patients with unilateral CAI. The functional status was evaluated with the Foot and Ankle Ability Measure (FAAM). The star-excursion balance test was used for dynamic balance, and the joint position sense test assessed proprioception. Ankle concentric muscle strength was measured by an isokinetic dynamometer. The subjects were randomly divided into neuromuscular and vestibular-ocular reflex training (VOG, n = 10) and neuromuscular training group (NG, n = 10). Both rehabilitation protocols were applied for four weeks.</p></div><div><h3>Results</h3><p>Although VOG had higher means of all parameters, no superiority was found between the two groups in post-treatment results. However, the VOG significantly improved FAAM scores at the sixth-month follow-up than NG (P &lt; .05). In the linear regression analysis, the post-treatment proprioception inversion-eversion for unstable side and FAAM- S were found to be independent factors of FAAM-S scores at the six months follow -up in VOG. Post-treatment isokinetic strength for inversion of unstable side (120 º /s) and FAAM- S were determined as predictor factors of FAAM- S scores at the six months follow -up (p &lt; .05) in NG.</p></div><div><h3>Conclusion</h3><p>The Neuromuscular combined with vestibular-ocular reflex training protocol effectively managed unilateral CAI. Furthermore, it may be considered an effective strategy for clinical outcomes for a long-term period in terms of functional status.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 101992"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9103559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cinderella’s misery: The wretched human foot 灰姑娘的痛苦:可怜的人的脚。
Foot Pub Date : 2023-09-01 DOI: 10.1016/j.foot.2023.101983
Cem Turaman
{"title":"Cinderella’s misery: The wretched human foot","authors":"Cem Turaman","doi":"10.1016/j.foot.2023.101983","DOIUrl":"10.1016/j.foot.2023.101983","url":null,"abstract":"<div><p>Human foot has outdistanced a long way from climbing to trees to walking all day long, within a relatively short period. Today, we are suffering from a number of aching foot problems and deformities as compromises to transition from quadripedalism to bipedalism, which is perhaps the sole derivative of the modern human being. In today’s modern environment, the choice between being chic or healthy is a difficult decision to make, consequently our feet ache. To cope with such evolutionary mismatches we only need to adopt our ancestors’ receipt: wearing minimal shoes, walking and squatting as much as we can.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 101983"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9089023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Automated plantar contact area estimation in a dynamic state using K-Means clustering 使用K-Means聚类在动态状态下自动估计足底接触面积。
Foot Pub Date : 2023-09-01 DOI: 10.1016/j.foot.2023.102021
Forough Askarisiahooie , Mohamed B. Trabia , Janet S. Dufek , Rami Mangoubi
{"title":"Automated plantar contact area estimation in a dynamic state using K-Means clustering","authors":"Forough Askarisiahooie ,&nbsp;Mohamed B. Trabia ,&nbsp;Janet S. Dufek ,&nbsp;Rami Mangoubi","doi":"10.1016/j.foot.2023.102021","DOIUrl":"10.1016/j.foot.2023.102021","url":null,"abstract":"<div><h3>Background</h3><p>Estimation of plantar contact area (PCA) can be used for a variety of purposes such as classification of foot types and diagnosis of foot abnormalities. While some techniques have been developed for assessing static PCA, understanding dynamic PCA may improve understanding of gait biomechanics. This study aims (1) to develop an approach to estimate PCA from video images of footprints during walking and (2) to assess the accuracy and generalizability of this method.</p></div><div><h3>Methods</h3><p>A sample of 41 ambulatory, young adults (age = 24.3 ± 3.2 years, mass = 67.2 ± 16.9 kg, height = 1.63 ± 0.08 m) completed 10 trials walking on a raised transparent plexiglass platform. Foot contact during walking was recorded using a video camera placed under the platform. An image processing algorithm, Clustering Segmentation, was developed based on identifying color intensity between the PCA and the rest of the foot and plantar contact morphology.</p></div><div><h3>Results</h3><p>The proposed approach was compared to manual hand tracing, which is widely accepted as the Gold Standard, as well as with an earlier automated approach (Lidstone et al., 2019). Results showed that Clustering Segmentation followed the Gold Standard closely in all phases of gait. The maximum PCA and the maximum PCA length and width generally increased with foot size, indicating that the algorithm could successfully estimate the PCA across a wide range of foot sizes. Results also showed that the proposed approach for obtaining the PCA may be used to characterize various foot types in a dynamic state.</p></div><div><h3>Conclusion</h3><p>Clustering Segmentation algorithm eliminates the need for subjective interpretation of the PCA. The results showed that the algorithm was considerably faster and more accurate than the earlier automated method. The proposed algorithm will be appropriate for assessment of foot abnormalities and provides complementary information to gait analysis.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 102021"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9224711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A novel technique of reconstruction of the distal tibia using allograft after resection of giant cell tumor: A case report with literature review 一种在巨细胞瘤切除后用同种异体移植物重建胫骨远端的新技术:一例报告并文献复习。
Foot Pub Date : 2023-09-01 DOI: 10.1016/j.foot.2023.102041
Sujit Kumar Tripathy, Paulson Varghese, Shahnawaz Khan, Narayan Prasad Mishra, Mantu Jain
{"title":"A novel technique of reconstruction of the distal tibia using allograft after resection of giant cell tumor: A case report with literature review","authors":"Sujit Kumar Tripathy,&nbsp;Paulson Varghese,&nbsp;Shahnawaz Khan,&nbsp;Narayan Prasad Mishra,&nbsp;Mantu Jain","doi":"10.1016/j.foot.2023.102041","DOIUrl":"10.1016/j.foot.2023.102041","url":null,"abstract":"<div><p><span>Giant cell tumor (GCT) of the </span>distal tibia<span> can result in significant bone loss<span><span> and soft tissue compromise, which can present a challenge for reconstruction. Various techniques have been described for the reconstruction of large defects, including the use of allografts<span>. In this article, we describe a novel technique of reconstruction of a large defect in the distal tibia using two femoral head<span> allografts after resection of GCT. The technique involves using two femoral head allografts, which are shaped to fit the defect and secured with a locking plate and screws. Using this technique, we present a case report of a patient with GCT of the distal tibia who underwent resection and reconstruction. At the 18-month follow-up, the patient had good functional outcomes and no evidence of tumor recurrence. This technique offers a viable option for reconstructing large defects in the distal tibia after GCT resection, particularly in cases where </span></span></span>autograft is not available or not feasible. Further studies are needed to evaluate the long-term outcomes and complications associated with this technique.</span></span></p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 102041"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9526746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postoperative venous thromboembolism risk-prediction in foot and ankle fracture surgery 足踝骨折手术后静脉血栓栓塞风险预测。
Foot Pub Date : 2023-09-01 DOI: 10.1016/j.foot.2023.102017
Jane Brennan, David Keblish, Elizabeth Friedmann, Adrienne Spirt, Edward Holt, Justin Turcotte
{"title":"Postoperative venous thromboembolism risk-prediction in foot and ankle fracture surgery","authors":"Jane Brennan,&nbsp;David Keblish,&nbsp;Elizabeth Friedmann,&nbsp;Adrienne Spirt,&nbsp;Edward Holt,&nbsp;Justin Turcotte","doi":"10.1016/j.foot.2023.102017","DOIUrl":"10.1016/j.foot.2023.102017","url":null,"abstract":"<div><h3>Background</h3><p><span>Venous thromboembolism (VTE) are rare but serious complications after foot and ankle fracture surgery. A consensus definition of a high-risk patient has not been reached, leading to significant variability in the use of pharmacologic agents for VTE prophylaxis. The aim of this study was to develop a model for predicting VTE risk </span>in patients undergoing surgery for foot and ankle fractures that is usable and scalable in clinical practice.</p></div><div><h3>Methods</h3><p><span>A retrospective review of 15,342 patients, within the ACS-NSQIP database, who had undergone surgical repair of foot and ankle fractures from 2015 to 2019 was performed. Univariate analysis evaluated differences in demographics and comorbidities. Stepwise multivariate </span>logistic regression<span><span> was generated based on a 60 % development cohort to evaluate risk factors for VTE. A receiver operator curve based on the 40 % test cohort calculated area under the curve (AUC) to measure the accuracy of the model in predicting VTE within the 30-day </span>postoperative period.</span></p></div><div><h3>Results</h3><p>Of the 15,342 patients, 1.2 % patients experienced VTE, and 98.8 % patients did not. Patients who experienced VTE were significantly older and had an overall higher comorbidity burden. Those who had VTE spent on average 10.5 more minutes in the operating room. In the final model, age over 65, diabetes, dyspnea, CHF, dialysis, wound infection and bleeding disorders were all found to be significant predictors of VTE after controlling for all other factors. The model generated an AUC of 0.731, indicating good predictive accuracy. The predictive model is publicly available at https://shinyapps.io/VTE_Prediction/.</p></div><div><h3>Conclusions</h3><p>In alignment with previous studies, we identified increased age and bleeding disorders as independent risk factors for VTE after foot and ankle fracture surgery. This is one of the first studies to generate and test a model for identifying patients at risk for VTE in this population. This evidence-based model may help surgeons prospectively identify high-risk patients who may benefit from pharmacologic VTE prophylaxis.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 102017"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9543177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Locking versus nonlocking plates for the treatment of posterior malleolar ankle fractures: A retrospective cohort study and cost analysis 锁定钢板与非锁定钢板治疗踝关节后骨折:一项回顾性队列研究和成本分析。
Foot Pub Date : 2023-09-01 DOI: 10.1016/j.foot.2023.102033
Francisco Borja Sobrón , José María Hernández-Mateo , Tanya Fernández , María Berta Alonso , Guillermo Parra , Javier Vaquero
{"title":"Locking versus nonlocking plates for the treatment of posterior malleolar ankle fractures: A retrospective cohort study and cost analysis","authors":"Francisco Borja Sobrón ,&nbsp;José María Hernández-Mateo ,&nbsp;Tanya Fernández ,&nbsp;María Berta Alonso ,&nbsp;Guillermo Parra ,&nbsp;Javier Vaquero","doi":"10.1016/j.foot.2023.102033","DOIUrl":"10.1016/j.foot.2023.102033","url":null,"abstract":"<div><h3>Background</h3><p>We hypothesized that, as posterior malleolar ankle fractures usually present one or two main fragments, the buttress plating principle can be successfully achieved either with conventional nonlocking or anatomic locking posterior tibia plates, and no clinical differences should be found. The aim of this study was to evaluate the outcomes of posterior malleolar ankle (PM) fractures treated with conventional nonlocking (CNP) or anatomic locking plates (ALP), and also to compare both constructs in terms of crude costs.</p></div><div><h3>Methods</h3><p>A retrospective cohort study<span> was designed. CNP was used in 22 patients and ALP was used in 11 patients. American Orthopedic Foot and Ankle Society (AOFAS) score was registered at four weeks, 3–6 months, 12 and 24 months to assess all patients’ functional status. The primary outcome was ankle and hindfoot AOFAS score at 12 months follow-up visit. All complications, radiographic evaluation and implant construct costs were also registered and compared. The average follow-up was 25.4 (range, 12–42) months.</span></p></div><div><h3>Results</h3><p>No significant difference was observed between both cohorts, in terms of AOFAS score and complication rate (P &gt; .05). We found that ALP construct is 17 times more expensive than CNP construct in our institution (P &lt; .001).</p></div><div><h3>Conclusion</h3><p>Anatomic locking posterior tibial plates may be an interesting device when poor bone quality is present or when a true multifragmentary pilon fracture is faced. Anatomic locking posterior tibia plate should not become a regular implant for any PM fracture since equivalent clinical and radiological results were obtained in our study using CNP with a significant reduced cost.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 102033"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9823896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does Kinesio taping of tibialis posterior or peroneus longus have an immediate effect on improving foot posture, dynamic balance, and biomechanical variables in young women with flexible flatfoot? 胫骨后肌或腓骨长肌的Kinesio带对改善年轻女性灵活平足的足部姿势、动态平衡和生物力学变量有直接影响吗?
Foot Pub Date : 2023-09-01 DOI: 10.1016/j.foot.2023.102032
Alireza Tahmasbi , Azadeh Shadmehr , Behrouz Attarbashi Moghadam , Sara Fereydounnia
{"title":"Does Kinesio taping of tibialis posterior or peroneus longus have an immediate effect on improving foot posture, dynamic balance, and biomechanical variables in young women with flexible flatfoot?","authors":"Alireza Tahmasbi ,&nbsp;Azadeh Shadmehr ,&nbsp;Behrouz Attarbashi Moghadam ,&nbsp;Sara Fereydounnia","doi":"10.1016/j.foot.2023.102032","DOIUrl":"10.1016/j.foot.2023.102032","url":null,"abstract":"<div><h3>Background</h3><p>Flexible flatfoot is common in young adults. One of its causes is the failure of dynamic stabilizers, which play an important role in the medial longitudinal arch support, and their appropriate function is necessary for the integrity of the lower extremity and the spine.</p></div><div><h3>Objective</h3><p>The study aimed to determine Kinesio taping on which extrinsic foot muscle provides greater benefit regarding enhancement of foot posture, dynamic balance, and biomechanical parameters in functional tasks immediately.</p></div><div><h3>Methods</h3><p>Thirty women were recruited for the study. They were randomly divided into groups (A = 15, B = 15). In group A, Kinesio taping was applied on the tibialis posterior (TP), and in group B, Kinesio taping was applied on the peroneus longus (PL) and remained for 30 min. Outcome measures were the navicular drop test (NDT), foot posture index (FPI), Y-balance test, and biomechanical parameters in functional tasks. Before/After within-group and between-group comparisons of outcome measures were performed.</p></div><div><h3>Results</h3><p>NDT and FPI decreased in both groups (p &lt; 0.05) with no significant difference between groups. In group A, maximum total force of the stance phase (MaxTFSP) during running increased, and some temporal parameters were changed. (p &lt; 0.05). In group B, Y-balance test improved in all directions, and the width of the gait line during walking increased. There were no significant differences in the postural stability parameters in the within-group comparison, except for mean center of pressure displacement in group B (p = 0.04).</p></div><div><h3>Conclusion</h3><p>Kinesio taping of both muscles could improve foot posture. TP Kinesio taping can increase the MaxTFSP during running and alter some temporal parameters during walking and running tasks. PL Kinesio taping could lead to better dynamic stability and coordination during dynamic tasks. Each muscle can be considered a therapeutic target for a specific purpose.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 102032"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9306755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Long term results and patient reported outcome measures following lisfranc injuries treated with memory staple fixation 记忆钉固定治疗利斯弗朗克损伤后的长期结果和患者报告的结果测量。
Foot Pub Date : 2023-09-01 DOI: 10.1016/j.foot.2023.101991
Anna Walsh, Sarang Kasture , Hari Sugathan, Rakesh Dalal
{"title":"Long term results and patient reported outcome measures following lisfranc injuries treated with memory staple fixation","authors":"Anna Walsh,&nbsp;Sarang Kasture ,&nbsp;Hari Sugathan,&nbsp;Rakesh Dalal","doi":"10.1016/j.foot.2023.101991","DOIUrl":"10.1016/j.foot.2023.101991","url":null,"abstract":"<div><h3>Introduction</h3><p>Various modalities of fixation have been proposed for Lisfranc injuries. Memory staple fixation offers a simple option for transarticular fixation in suitable fracture configuration with no diaphyseal extension. However there is little evidence available in the literature regarding its efficacy and patient reported outcomes. Aim of the study was to present the long term outcomes of Lisfranc injuries treated with memory staple fixation and patient reported outcomes at average follow-up of four years.</p></div><div><h3>Method</h3><p>This was a retrospective analysis of all the patients who underwent fixation for Lisfranc injury using shape memory alloy (Nitinol) staples from December 2010 to October 2018. Patient demography, mechanism of injury, classification of Lisfranc injury, duration of followup, complication, revision surgery, implant removal and patient reported outcomes (AOFAS midfoot score) was noted.</p></div><div><h3>Results</h3><p>31 patients satisfied the inclusion criteria. Mean age was 50 years and 17 patients were females. 54 % patients reported low to moderate energy trauma which included simple fall from standing height or twisting injury. 28 (90.3 %) had B2 type of fracture pattern. 13 had fixation with staples only, 15 with a staple and home run screw. No patient had primary fusion. One patient had superficial infection treated with antibiotics only. Three patients developed symptomatic arthritis, out of which one proceeded to fusion. Six had implant removal for hardware related symptoms. Average AOFAS midfoot score at average four years follow-up was 77.8 which are satisfactory.</p></div><div><h3>Conclusion</h3><p>This paper highlights good outcome following memory staple fixation for Lisfranc injuries. We believe staples are more suited for the dorsal buttressing that is typically required and provide stable, reproducible fixation Our findings also suggest less need for implant removal compared to transarticular screw or plate fixation though larger studies would be required to make definitive conclusions.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"56 ","pages":"Article 101991"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9180491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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