Researchers investigated whether changes in dynamic plantar pressure distribution, strength capacity, and postural control after intra-articular calcaneal fracture correlate with clinical and radiological outcome. Sixty patients with unilateral, operatively treated, intra-articular calcaneal fractures were evaluated one year postoperatively.
Clinical examination revealed a reduction in range of motion at the tibiotalar and the subtalar joint on the affected side, plantar flexor peak torque (p<0.001) and postural control. Plantar pressure measurements revealed a pressure reduction at the hindfoot (p=0.0007) and a pressure increase at the midfoot (p=0.0001) and the lateral forefoot (p=0.037).
The AOFAS score was correlated weakly with radiological classifications, moderately with strength and standing duration and strongly with self-selected walking speed.
From the article of the same title
Injury (10/01/11) Vol. 42, No. 10, P. 1135 Konstantinidis, Lukas; Baur, Heiner; Müller, Steffen; et al.
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About drphilipw
Dr. Philip Wrotslavsky specializes in the diagnosis and treatment of infant, children and adult patients with medical conditions of the foot, ankle and lower leg structures.
Dr Wrotslavsky completed his orthopedic fellowship (Chief Fellow) at The Limb Reconstruction Fellowship Program at the International Center for Limb Lengthening in Baltimore, Maryland under the guidance of Dr. Dror Paley and Dr. John Herzenberg. His fellowship experience included the in-depth study, prevention, and treatment of limb threatening foot conditions, infections, diabetic charcot neuroarthropathy, nonunions, malunions, and congenital and posttraumatic limb deformities. He has adopted techniques derived from the science of distraction osteogenesis.He is adept at utilizing the full gamut of orthopedic fixation materials, including screws, wires, plates, intramedullary rods, and monolateral and circular fixators (Ilizarov and Taylor Spatial Frame) in the treatment and correction of deformities.
His 4 years of podiatry foot and ankle surgical residency training took place in an inner city hospital in New York City, where he worked with a multidisciplinary team of general, podiatric, orthopedic and vascular physicians and surgeons and provided a wide variety of foot and ankle care including wound care, ankle arthroscopy, diabetic limb salvage and reconstruction, flatfoot reconstruction, neurological cavo-varus foot reconstruction and management of trauma to the foot and ankle.
Dr Wrotslavsky's fellowship and residency training has taught him to perform a full biomechanical exam identifying lower extremity pathology from spine to foot.He enjoys working with a team of physicians identifying the patients’ pathology and providing the appropriate treatment.
