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Pedobarographic evaluation of body weight distribution on the lower limbs and balance after derotation corticotomies using the Ilizarov method

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Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Distortion of the axis and shortening of the limbs result in multiple musculoskeletal pathologies. Rotation disorders should also be included among the disorders of the axis of the lower limb. In the case of rotational distortion, only derotation osteotomy can effectively correct torsion-associated deformations. Rotational distortion correction is accompanied by translational displacement and torsion, which results in more complex biomechanics. Using the pedobarographic platform, it is possible to evaluate static and dynamic posture and gait, percentage of body weight distribution on the lower limbs, and balance. Physiological gait and distribution of weight on the lower extremities are symmetrical. Balance is one of the determinants of proper biomechanics of the musculoskeletal system. An important aspect of treatment evaluation is pedobarographic assessment of balance and body weight distribution on the lower extremities ratio. The aim of this work was to evaluate the pedobarographic assessment of body weight distribution on the lower limbs and balance in patients with derotation corticotomies using the Ilizarov method. The study examined a group of 56 patients, who underwent derotation corticotomy using the Illizarov method between 1996 and 2012 at the Clinic of Orthopaedics and Traumatology of the Musculoskeletal System in Wrocław. The control group consisted of 54 patients, who were treated with correctional derotation-free corticotomy using the Ilizarov. Distribution of body weight on the lower limbs and balance were assessed with the pedobarographic platform. Following derotation corticotomy, the amount of body weight placed on the operated limb by subjects from the study group averaged 47.81%, 52.19% in the case of the healthy limb. These differences were not statistically significant. The difference between the average percentage of body weight placed on the diseased and healthy limb in the study group and the controls were not found to be statistically significant. There were no statistical differences in the average length of the gravity line or in the average surface area of the center of gravity position between the study and control groups. Balanced distribution of body weight on the lower limbs was achieved following derotation corticotomies using the Ilizarov method. Derotation corticotomies performed with the Ilizarov method allow for achieving normalization of body weight distribution on the lower limbs and balance, with values similar to those resulting from Ilizarov method derotation-free osteotomy.
Rocznik
Strony
91--96
Opis fizyczny
Bibliogr. 30 poz., rys.
Twórcy
  • Wrocław Medical University, Department and Clinic of Orthopaedic and Traumatologic Surgery, Poland, morasp@wp.pl
autor
  • Wrocław Medical University, Department and Clinic of Orthopaedic and Traumatologic Surgery, Poland
Bibliografia
  • [1] ALAGHA R., GOŢIA D., Anatomical and biomechanical consideration in axial deviations of lower limb, Jur. Ped., 2009, Vol. 45–46, 3–5.
  • [2] PROBE R., Correction of lower extremity angular malunion, Oper. Tech. Orthop., 2003, Vol. 13, 120–129.
  • [3] NAKASE T., KITANO M., KAWAI H., Distraction osteogenesis for correction of three-dimensional deformitis with shortening of lower limbs by Taylor Spatial Frame, Arch. Orthop. Trauma Surg., 2009, Vol. 129, 1197–1201.
  • [4] STAHELI L., Rotational problems in Children, Instr. Course Lect., 1993, Vol. 43, 199–209.
  • [5] PIPER K., CHIA M., GRAHAM E., Correction rotational deformity following femoral nailing, Injury, 2009, Vol. 40, 660–662.
  • [6] PANJAVI B., MORTAZAVI J., Rotational Deformitis of the lower Limb in Children, Iran J. Ped., 2007, Vol. 17, 393–397.
  • [7] ALTINEL L., KOSE K.C., AKSOY Y., Hip rotation degrees in toeing problem, and sitting habits in nursery school childrem: an analysis of 1134 cases, Acta Orthop. Traumatol. Turc., 2007, Vol. 41, 190–194.
  • [8] BURLAKOV E., ALTOV D., MAKUSHIN D., Biomechanical analysis of load on intercondylar surface of the knee joint in frontal projection, Biomed. Eng., 2008, Vol. 42, 77–81.
  • [9] THORP L., WIMMER M., FOUCHER K., The biomechanical effects of focused muscle training on medial knee loads in OA of the knee: a pilot, proof of concept study, J. Musculoskelet. Neuronal. Interact, 2010, Vol. 10, 166–173.
  • [10] BUTLER R., BARRIOS J., ROYER T., Frontal-Plane Gait Mechanics in People With Medial Knee Osteoarthritis Are Different From Those in People With Lateral Knee Osteoarthritis, Phys. Ther., 2011, Vol. 91, 1235–1243.
  • [11] BOR N., RUBIN G., ROZEN N., Ilizarov Method for Gradual Deformity Correction, Oper. Tech. Orthop., 2011, Vol. 21, 1004–112.
  • [12] KRAWCZYK A., MORASIEWICZ L., ORZECHOWSKI W., Usefulness of distraction osteogenesis in the treatment of knee arthrosis, Chir. Narzadow. Ruchu. Ortop. Pol, 2004, Vol. 69, 305–309.
  • [13] STAHELI L., Torision-Treatment Indications, Clin. Orthop. Relat. Res., 1989, Vol. 247, 61–66.
  • [14] LEE S., CHUNG C., PARK M., Tibial Torsion in Cerebral Palsy, Clin. Orthop. Relat. Res., 2009, Vol. 467, 2098–2104.
  • [15] SMIT J., Deformities of the lower limb in the growing child, CMEJ, 2008, Vol. 26, 392–396.
  • [16] LORKOWSKI J., TRYBUS M., HŁADKI W., Rozkład nacisków na podeszwowej stronie stóp u chorych z chorobą Ledderhose, J. Orthop. Surg. Rel. Res., 2010, Vol. 19, 33–41.
  • [17] PATAKY T., GOULERMAS J., Pedobarographic statistical parapemtric mapping (pSPM): A pixel-level approach to foot pressure image analysis, J. Biomech., 2008, Vol. 41, 2136–2143.
  • [18] SANTOS-ROCHA R., VELOSO A., MACHADO M., Peak Ground and Joint Forces in Step-Exercise Depending on Step-Pattern and Spepping-Rate, Op. Sports. Scie. J., 2009, Vol. 2, 10–21.
  • [19] MORASIEWICZ M., KOPROWSKI P., WRZOSEK Z., Gait analysis in patients after lengthening and correction of tibia with Ilizarov technique, Fizoter., 2010, Vol. 18, 9–18.
  • [20] JANCOVA J., Measuring the balance control system – review, Acta Medica., 2008, Vol. 51, 129–137.
  • [21] VEILLEUX L., ROBERT M., BALLAZA L., Gait analysis using force-measuring gangway: Intrasession repeatability in healthy adults, J. Musculoskelet. Neuronal. Interact, 2011, Vol. 11, 27–33.
  • [22] PATAKY T., CARAVAGGI P., SAVAGE R., New insights the plantar pressure correlates of walking speed using pedobarographic statistical papametric mapping (pSPM), J. Biomech., 2008, Vol. 41, 1987–1944.
  • [23] RONGIES W., BAK A., LAZAR A., A trial of the use of pedobarography in the assessment of the effectiveness of rehabilitation in patients with coxarthrosis, Ortop. Traumatol. Rehabil., 2009, Vol. 11, 242–252.
  • [24] LORKOWSKI J., TRYBUS M., HŁADKI W., Rozkład nacisków na podeszwowej stronie stóp u chorej z jednostronnym skotnieniem stawu skokowo-łódkowatego w przebiegu reumatoidalnego zapalenia stawów – opis przypadku, Przeg. Lek., 2008, 65, 54–56.
  • [25] BHAVE A., PALEY D., HERZENBERG J., Improvement in Gait Parameters After Lengthening for the Treatment of Limb-Length Discrepancy, J. Bone. Joint. Surg Am., 1999, Vol. 81, 529–534.
  • [26] MAJEWSKI M., BISCHOFF-FERRARI H., GRUNEBERG C., Improvements in balance after total hip replacement, J. Bone Joint Surg. Br., 2005, Vol. 87, 1337–1343.
  • [27] CZERWIŃSKI E., KUMOREK A., Upadki, witamina D i złamania, Post. Nauk Med., 2012, Vol. 3, 226–231.
  • [28] DOLGANOV D., MAKUSHIN K., KUFTYREV L., Restoration of loading in patients lower limb during reconstructiverestorative treatment of femoral and tibial defects after Ilizarov, Ortrop. Travmatol. Protez., 1986, 88–96.
  • [29] RADLER C., KRANZL A., MANNER H., Torsional profile versus gait analysis: consistency between the anatomic torsion and the resulting gait pattern in patients with rotational malignment of the lower extremity, Gait Posture, 2010, Vol. 32, 405–410.
  • [30] KOCZEWSKI P., URBAN F., JÓŹWIAK M., Analysis of some gait parameters at different stages of leg lengthening using the Ilizarov technique, Chir. Narzadow. Ruchu. Ortop. Pol., 2004, Vol. 69, 393–397.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-60d03b66-c7d8-4da9-b7a8-f8139c2d51e5
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