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Tytuł artykułu

Assessment of body balance of patients treated with the Ilizarov method for tibial nonunion

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Purpose: The biomechanics of the musculoskeletal system in patients after tibial nonunion treatment using the Ilizarov method have not yet been fully explored. From the orthopaedic and patient point of view, after the treatment, an assessment should be carried out of the biomechanics of the musculoskeletal system. The aim of this study was to assess the body balance of patients treated with the Ilizarov method for tibial nonunion. Methods: The research group included 24 individuals with a mean age of 55 years, who were treated for aseptic tibial nonunion with the Ilizarov method. The control group was matched to the study group in terms of gender and age, and consisted of 32 subjects with a mean age of 50.5 years and no significant medical history. This study evaluated the balance of patients with the use of pedobarography. Results: In the control group, a statistically significantly shorter path of centre of gravity was observed. There were no statistical differences between the study and control groups for the field area of the centre of gravity. There were no statistical differences between the study and control groups for the minor axis length or major axis length of the centre of gravity. There was a relationship between the centre of pressure path length and the age of the participants in both the control group and the study group. Conclusions: Treatment of patients with tibial nonunion with the Ilizarov fixator achieves similar balance to healthy volunteers. In the pedobarographic evaluation, patients treated for tibial nonunion using the Ilizarov method had similar statics of the musculoskeletal system to healthy volunteers.
Rocznik
Strony
131--137
Opis fizyczny
Bibliogr. 29 poz., fot., tab., wykr.
Twórcy
  • Wroclaw Medical University, Department and Clinic of Orthopaedic and Traumatologic Surgery, Wrocław, Poland
  • Department of Physiotherapy in Motor Disorders and Dysfunctions, University School of Physical Education in Wrocław, Wrocław, Poland
  • Medical University of Warsaw, Department of Orthopedics and Musculoskeletal Traumatology, Warsaw, Poland
  • Medical University of Warsaw, Department of Orthopedics and Musculoskeletal Traumatology, Warsaw, Poland
  • Medical University of Warsaw, Department of Orthopedics and Musculoskeletal Traumatology, Warsaw, Poland
  • Health Promotion, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Wrocław, Poland
  • Health Promotion, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Wrocław, Poland
  • Wroclaw Medical University, ul. Borowska 213, 50-556 Wrocław, Poland
Bibliografia
  • [1] ABUOMIRA I.E., SALA F., ELBATRAWY Y., LOVISETTI G., ALATI S., CAPITANI D., Distraction osteogenesis for tibial nonunion with bone loss using combined Ilizarov and Taylor spatial frames versus a conventional circular frame, Strategies Trauma Limb Reconstr., 2016, 11 (3), 153–159.
  • [2] BARUAH R.K., Ilizarov methodology for infected non union of the Tibia: Classic circular transfixion wire assembly vs. hybrid assembly, Indian J. Orthop. [serial online], 2007, 41, 198–203. Available from: http://www.ijoonline.com/text.asp?2007/41/3/198/33682 [accessed: January 14, 2019],
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  • [7] DRÓŻDŻ M., RAK S., BARTOSZ P., BIAŁECKI J., MARCZYŃSKI W., Results of the Treatment of Infected Nonunions of the Lower Limbs Using the Ilizarov Method, Ortop. Traumatol. Rehabil., 2017, 12, 19 (2), 111–125.
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  • [10] HOSNY G.A., AHMED A.A., HUSSEIN M.A., Clinical outcomes with the corticotomy-first technique associated with the Ilizarov method for the management of the septic long bones non-union, Int. Orthop., 2018, 42(12), 2933–2939, DOI: 10.1007/s00264-018-3924-9. Epub. 2018, Apr. 7.
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  • [13] LORKOWSKI J., TRYBUS M., HŁADKI W., BRONGEL L., Underfoot pressure distribution of a patient with unilateral ankylosis of talonavicular joint during rheumatoid arthritis – case report, Przegl. Lek., 2008, 65, 54–56.
  • [14] MADHUSUDHAN T.R., RAMESH B., MANJUNATH K., SHAH H.M., SUNDARESH D.C., KRISHNAPPA N., Outcomes of Ilizarov ring fixation in recalcitrant infected tibial non-unions – a prospective study, J. Trauma Manag. Outcomes, 2008, 23, 2 (1), 6, DOI: 10.1186/1752-2897-2-6.
  • [15] MAGADUM M.P., BASAVARAJ YADAV C.M., PHANEESHA M.S., RAMESH L.J., Acute compression and lengthening by the Ilizarov technique for infected nonunion of the tibia with large bone defects, J. Orthop. Surg. (Hong Kong), 2006, 14 (3), 273–279.
  • [16] MAJEWSKI M., BISCHOFF-FERRARI H., GRUNEBERG C., DICK W., ALLUM J.H., Improvements in balance after total hip replacement, J. Bone Joint Surg. Br., 2005, 87, 1337–1343
  • [17] MARTYNIUK B., MORASIEWICZ P., WUDARCZYK S., DRAGAN S.F., FILIPIAK J., The impact of configuration of the Ilizarov fixator on its stiffness and the degree of loading of distraction rods, Clin. Biomech. (Bristol, Avon), 2019, 63, 79–84, DOI: 10.1016/j.clinbiomech.2019.02.020. Epub. 2019, Feb. 27.
  • [18] MCHALE K.A., ROSS A.E., Treatment of infected tibial nonunions with debridement, antibiotic beads, and the Ilizarov method, Mil. Med., 2004, 169 (9), 728–734.
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  • [20] MEGAS P., SARIDIS A., KOUZELIS A., KALLIVOKAS A., MYLONAS S., TYLLIANAKIS M., The treatment of infected nonunion of the tibia following intramedullary nailing by the Ilizarov method, Injury, 2010, 41 (3), 294–299, DOI: 10.1016/j.injury.2009.09.013.
  • [21] MELEPPURAM J.J., IBRAHIM S., Experience in fixation of infected non-union tibia by Ilizarov technique – a retrospective study of 42 cases, Rev. Bras. Ortop., 2016, 30, 52 (6), 670–675, DOI: 10.1016/j.rboe.2016.11.008.
  • [22] MORASIEWICZ P., DRAGAN S., DRAGAN S.Ł., WRZOSEK Z., PAWIK Ł., Pedobarographic analysis of body weight distribution on the lower limbs and balance after Ilizarov corticotomies, Clin. Biomech., 2016, 31, 2–6.
  • [23] MORASIEWICZ P., KONIECZNY G., DEJNEK M., URBAŃSKI W., DRAGAN S.Ł., KULEJ M., DRAGAN S.F., PAWIK Ł., Assessment of the distribution of load on the lower limbs and balance before and after ankle arthrodesis with the Ilizarov method, Sci. Rep., 2018, 24, 8(1), 15693, DOI: 10.1038/s41598-018-34016-3.
  • [24] MORASIEWICZ P., FILIPIAK J., KONIETZKO M., DRAGAN S., The impact of the type of derotation mechanism on the stiffness of the Ilizarov fixator, Acta Bioeng. Biomech., 2012, Vol. 14, No. 1, 67–73.
  • [25] MORASIEWICZ P., DRAGAN S., Pedobarographic evaluation of body weight distribution on the lower limbs and balance after derotation corticotomies using the Ilizarov method, Acta Bioeng. Biomech., 2013, Vol. 15, No. 2, 91–96.
  • [26] RADLER C., KRANZL A., MANNER H.M., HÖGLINGER M., GANGER R., GRILL F., 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, 32, 405–410.
  • [27] 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, 11, 242–252.
  • [28] WANI N.B., SYED B., Ilizarov ring fixator in the management of infected non-unions of tibia, SICOT J., 2015, 29, 1, 22, DOI: 10.1051/sicotj/2015022.
  • [29] XU J., JIA Y.C., KANG Q.L., CHAI Y.M., Management of hypertrophic nonunion with failure of internal fixation by distraction osteogenesis, Injury, 2015, 46 (10), 2030–2035, DOI: 10.1016/j.injury.2015.06.020. Epub 2015 Jun 17.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-eec3c342-9a9e-4ae4-9b50-941552104d11
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