Effects of custom-made insole on gait pattern of patients with unilateral displaced intra-articular calcaneal fracture: evaluation with computerized gait analysis

GÖK, HAYDAR; Tecimel, Osman; Bozkurt, Murat; öçgüder, Durmuş Ali; HEYCAN, Cengiz; TÖNÜK, Ergin

Effects of custom-made insole on gait pattern of patients with unilateral displaced intra-articular calcaneal fracture: evaluation with computerized gait analysis

DURMUŞ ALİ ÖÇGÜDER, (Ankara Atatürk Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Ankara, Türkiye)

Haydar GÖK, (Ankara Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara, Türkiye)

Cengiz HEYCAN, (Orta Doğu Teknik Üniversitesi, Makina Mühendisliği Bölümü, Biyomekanik Araştırma Laboratuarı, Ankara, Türkiye)

Osman TECİMEL, (Ankara Atatürk Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Ankara, Türkiye)

Ergin TÖNÜK, (Orta Doğu Teknik Üniversitesi, Makina Mühendisliği Bölümü, Biyomekanik Araştırma Laboratuarı, Ankara, Türkiye)

Murat BOZKURT (Yıldırım Beyazıt Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji AnaBilim Dalı, Ankara, Türkiye)

Acta Orthopaedica et Traumatologica Turcica

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Yıl: 2012 Cilt: 46 Sayı: 1 Sayfa Aralığı: 1 - 7 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Effects of custom-made insole on gait pattern of patients with unilateral displaced intra-articular calcaneal fracture: evaluation with computerized gait analysis

Öz:

Objective: The aim of this study was to investigate whether use of custom-fabricated insoles improves the gait pattern in patients with displaced intra-articular calcaneal fractures. Methods: Fourteen patients (7 female, 7 male; mean age: 39±12 years) and 11 healthy individuals (mean age: 42±13 years) were included in the study. Treatment protocol included conservative treatment involving immobilization, with or without closed reduction, active exercises, wear of a customfabricated insole and prospective follow-up. All patients were evaluated by physical examination, axial and lateral radiographs, computerized tomography, and computerized gait analysis. Results: The use of custom-made insoles significantly improved step and stride lengths and the peak values of fore-aft component in the involved foot and tended to increase plantarflexor moment and total ankle power. The majority of patients (71%) continued to have substantial mechanical abnormalities by computerized gait analysis. Plantar flexion moment, total ankle power, vertical component of ground reaction forces (GRFs), and total sagittal plane excursion were significantly decreased in the involved foot when compared to the uninvolved foot. Plantar flexion moment, total ankle power, vertical, fore-aft and mediolateral componentsof GRFs were significantly decreased in the involved foot when compared to the healthy control group. Conclusion: Use of a custom-made insole improves advancement of limb and weight-bearing in patients with a displaced intra-articular calcaneal fracture. Nevertheless, mechanical abnormalities persist in the affected limb, which does not appear to recover a gait pattern similar to that of normal walking.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

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APA	öçgüder D, GÖK H, HEYCAN C, Tecimel O, TÖNÜK E, Bozkurt M (2012). Effects of custom-made insole on gait pattern of patients with unilateral displaced intra-articular calcaneal fracture: evaluation with computerized gait analysis. , 1 - 7.
Chicago	öçgüder Durmuş Ali,GÖK HAYDAR,HEYCAN Cengiz,Tecimel Osman,TÖNÜK Ergin,Bozkurt Murat Effects of custom-made insole on gait pattern of patients with unilateral displaced intra-articular calcaneal fracture: evaluation with computerized gait analysis. (2012): 1 - 7.
MLA	öçgüder Durmuş Ali,GÖK HAYDAR,HEYCAN Cengiz,Tecimel Osman,TÖNÜK Ergin,Bozkurt Murat Effects of custom-made insole on gait pattern of patients with unilateral displaced intra-articular calcaneal fracture: evaluation with computerized gait analysis. , 2012, ss.1 - 7.
AMA	öçgüder D,GÖK H,HEYCAN C,Tecimel O,TÖNÜK E,Bozkurt M Effects of custom-made insole on gait pattern of patients with unilateral displaced intra-articular calcaneal fracture: evaluation with computerized gait analysis. . 2012; 1 - 7.
Vancouver	öçgüder D,GÖK H,HEYCAN C,Tecimel O,TÖNÜK E,Bozkurt M Effects of custom-made insole on gait pattern of patients with unilateral displaced intra-articular calcaneal fracture: evaluation with computerized gait analysis. . 2012; 1 - 7.
IEEE	öçgüder D,GÖK H,HEYCAN C,Tecimel O,TÖNÜK E,Bozkurt M "Effects of custom-made insole on gait pattern of patients with unilateral displaced intra-articular calcaneal fracture: evaluation with computerized gait analysis." , ss.1 - 7, 2012.
ISNAD	öçgüder, Durmuş Ali vd. "Effects of custom-made insole on gait pattern of patients with unilateral displaced intra-articular calcaneal fracture: evaluation with computerized gait analysis". (2012), 1-7.

APA	öçgüder D, GÖK H, HEYCAN C, Tecimel O, TÖNÜK E, Bozkurt M (2012). Effects of custom-made insole on gait pattern of patients with unilateral displaced intra-articular calcaneal fracture: evaluation with computerized gait analysis. Acta Orthopaedica et Traumatologica Turcica, 46(1), 1 - 7.
Chicago	öçgüder Durmuş Ali,GÖK HAYDAR,HEYCAN Cengiz,Tecimel Osman,TÖNÜK Ergin,Bozkurt Murat Effects of custom-made insole on gait pattern of patients with unilateral displaced intra-articular calcaneal fracture: evaluation with computerized gait analysis. Acta Orthopaedica et Traumatologica Turcica 46, no.1 (2012): 1 - 7.
MLA	öçgüder Durmuş Ali,GÖK HAYDAR,HEYCAN Cengiz,Tecimel Osman,TÖNÜK Ergin,Bozkurt Murat Effects of custom-made insole on gait pattern of patients with unilateral displaced intra-articular calcaneal fracture: evaluation with computerized gait analysis. Acta Orthopaedica et Traumatologica Turcica, vol.46, no.1, 2012, ss.1 - 7.
AMA	öçgüder D,GÖK H,HEYCAN C,Tecimel O,TÖNÜK E,Bozkurt M Effects of custom-made insole on gait pattern of patients with unilateral displaced intra-articular calcaneal fracture: evaluation with computerized gait analysis. Acta Orthopaedica et Traumatologica Turcica. 2012; 46(1): 1 - 7.
Vancouver	öçgüder D,GÖK H,HEYCAN C,Tecimel O,TÖNÜK E,Bozkurt M Effects of custom-made insole on gait pattern of patients with unilateral displaced intra-articular calcaneal fracture: evaluation with computerized gait analysis. Acta Orthopaedica et Traumatologica Turcica. 2012; 46(1): 1 - 7.
IEEE	öçgüder D,GÖK H,HEYCAN C,Tecimel O,TÖNÜK E,Bozkurt M "Effects of custom-made insole on gait pattern of patients with unilateral displaced intra-articular calcaneal fracture: evaluation with computerized gait analysis." Acta Orthopaedica et Traumatologica Turcica, 46, ss.1 - 7, 2012.
ISNAD	öçgüder, Durmuş Ali vd. "Effects of custom-made insole on gait pattern of patients with unilateral displaced intra-articular calcaneal fracture: evaluation with computerized gait analysis". Acta Orthopaedica et Traumatologica Turcica 46/1 (2012), 1-7.