Comparison of Plantar Pressure Distribution During Walking After Two Different Surgical Treatments for Calcaneal Fracture

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dc.contributor.authorJandová, Soňa
dc.contributor.authorPazour, Jan
dc.contributor.authorJanura, Miroslav
dc.date.accessioned2019-08-22T07:31:46Z
dc.date.available2019-08-22T07:31:46Z
dc.date.issued2019-03
dc.description.abstractThe aim of our study was to compare gait in terms of foot loading and temporal variables after 2 different operative approaches (the extended lateral approach [ELA] and sinus tarsi approach). Twenty-two patients who sustained an intra-articular calcaneal fracture underwent plantar pressure distribution measurements 6 months after surgery. Measurements were performed while patients walked on the pedobarography platform. The values of dynamic variables were significantly lower on the operated limb in the ELA. In the sinus tarsi approach, no differences were observed between the operated and uninjured limbs (UIN) at peak pressure and at maximal vertical force. The values of temporal variables (contact time of the foot and of the heel) between the operated and UIN differed in the ELA. The hypothesis that differences in foot load between operated and UIN will be more significant in the ELA was confirmed. Our results showed that the differences in loading and temporal variables between the operated and the UIN persisted 6 months after surgery in both methods. The operated limb was less loaded, with the tendency to shift the load toward the midfoot and forefoot. After the less invasive sinus tarsi approach, the dynamic and temporal variables on the operated limb were nearly the same as those on the healthy one. The sinus tarsi surgical approach can be recommended for treatment of displaced calcaneal fractures.cs
dc.format.extent6 strancs
dc.identifier.WebofScienceResearcherIDK-1832-2015 Janura, Miroslav
dc.identifier.WebofScienceResearcherIDW-9347-2018 Jandova, Sona
dc.identifier.doi10.1053/j.jfas.2018.08.051
dc.identifier.orcid0000-0003-4459-5248 Jandová, Soňa
dc.identifier.orcid0000-0002-6220-4450 Janura, Miroslav
dc.identifier.urihttps://dspace.tul.cz/handle/15240/153229
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S1067251618303922
dc.language.isocscs
dc.relation.ispartofJOURNAL OF FOOT & ANKLE SURGERY
dc.subjectextended lateral approachcs
dc.subjectforcecs
dc.subjectpedobarographycs
dc.subjectpressurecs
dc.subjectsinus tarsi approachcs
dc.subjecttimecs
dc.titleComparison of Plantar Pressure Distribution During Walking After Two Different Surgical Treatments for Calcaneal Fracturecs
local.citation.spage260
local.identifier.publikace6680
local.identifier.publikace7314
local.relation.issue2
local.relation.volume58
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