GAIT ASSESSMENT IN ANKLE FRACTURES WITH SYNDESMOSIS LESIONS UNDERGOING SURGERY

ABSTRACT Introduction: The three-dimensional evaluation of patients in the gait laboratory is a diagnostic method that is gaining ground in various orthopedic pathologies and, in the case of ankle fractures, can more accurately detail the degree of joint limitation. Objective: To present the import...

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Main Authors: Romero Montenegro Nery, Giovanni Dela Bianca de Ataide, Rafael Clark Gomes, Dallianny Gonçalves de Sousa Martins, Giovanni Ítalo Gomes de Almeida, Lucas Amaral Shizue Suassuna, Epitácio Leite Rolim-Filho
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2025-01-01
Series:Acta Ortopédica Brasileira
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522024000600901&lng=en&tlng=en
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author Romero Montenegro Nery
Giovanni Dela Bianca de Ataide
Rafael Clark Gomes
Dallianny Gonçalves de Sousa Martins
Giovanni Ítalo Gomes de Almeida
Lucas Amaral Shizue Suassuna
Epitácio Leite Rolim-Filho
author_facet Romero Montenegro Nery
Giovanni Dela Bianca de Ataide
Rafael Clark Gomes
Dallianny Gonçalves de Sousa Martins
Giovanni Ítalo Gomes de Almeida
Lucas Amaral Shizue Suassuna
Epitácio Leite Rolim-Filho
author_sort Romero Montenegro Nery
collection DOAJ
description ABSTRACT Introduction: The three-dimensional evaluation of patients in the gait laboratory is a diagnostic method that is gaining ground in various orthopedic pathologies and, in the case of ankle fractures, can more accurately detail the degree of joint limitation. Objective: To present the importance of laboratory gait studies in the postoperative period of ankle fractures associated with syndesmosis ligament injuries, increasing the arsenal for assessing whether the surgical approach and outcome were satisfactory. Methods: Case series of 13 patients who underwent surgical treatment for ankle fractures associated with syndesmosis injuries, evaluated postoperatively in the gait clinic using the BTS GAITLAB hardware program. Kinetic and kinematic data using a three-dimensional movement system were collected and analyzed. Results: Alterations were found in the Temporal and Spatial Parameters and in the Statistical Angles of the lower limb joints, comparing the operated limb with the non-operated limb. Conclusion: The results of the study suggest that, despite subtle variations between the limbs assessed, the program was able to identify these differences in a significant way, demonstrating that gait assessments bring great benefits in understanding biomechanical limitations, and make more effective and individualized rehabilitation protocols possible. Level of evidence IV, Case series.
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institution Kabale University
issn 1413-7852
language English
publishDate 2025-01-01
publisher Sociedade Brasileira de Ortopedia e Traumatologia
record_format Article
series Acta Ortopédica Brasileira
spelling doaj-art-cd3940f5cba549dbb2e95b222f40407d2025-01-21T07:35:06ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522025-01-0132610.1590/1413-785220243206e281862GAIT ASSESSMENT IN ANKLE FRACTURES WITH SYNDESMOSIS LESIONS UNDERGOING SURGERYRomero Montenegro Neryhttps://orcid.org/0009-0000-7102-4112Giovanni Dela Bianca de Ataidehttps://orcid.org/0000-0002-6583-4642Rafael Clark Gomeshttps://orcid.org/0009-0007-6755-3362Dallianny Gonçalves de Sousa Martinshttps://orcid.org/0009-0004-0654-2924Giovanni Ítalo Gomes de Almeidahttps://orcid.org/0009-0001-5759-401XLucas Amaral Shizue Suassunahttps://orcid.org/0009-0003-1080-9903Epitácio Leite Rolim-Filhohttps://orcid.org/0000-0001-5665-9793ABSTRACT Introduction: The three-dimensional evaluation of patients in the gait laboratory is a diagnostic method that is gaining ground in various orthopedic pathologies and, in the case of ankle fractures, can more accurately detail the degree of joint limitation. Objective: To present the importance of laboratory gait studies in the postoperative period of ankle fractures associated with syndesmosis ligament injuries, increasing the arsenal for assessing whether the surgical approach and outcome were satisfactory. Methods: Case series of 13 patients who underwent surgical treatment for ankle fractures associated with syndesmosis injuries, evaluated postoperatively in the gait clinic using the BTS GAITLAB hardware program. Kinetic and kinematic data using a three-dimensional movement system were collected and analyzed. Results: Alterations were found in the Temporal and Spatial Parameters and in the Statistical Angles of the lower limb joints, comparing the operated limb with the non-operated limb. Conclusion: The results of the study suggest that, despite subtle variations between the limbs assessed, the program was able to identify these differences in a significant way, demonstrating that gait assessments bring great benefits in understanding biomechanical limitations, and make more effective and individualized rehabilitation protocols possible. Level of evidence IV, Case series.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522024000600901&lng=en&tlng=enAnkle FractureThree-Dimensional Gait AssessmentSyndesmosisBiomechanics
spellingShingle Romero Montenegro Nery
Giovanni Dela Bianca de Ataide
Rafael Clark Gomes
Dallianny Gonçalves de Sousa Martins
Giovanni Ítalo Gomes de Almeida
Lucas Amaral Shizue Suassuna
Epitácio Leite Rolim-Filho
GAIT ASSESSMENT IN ANKLE FRACTURES WITH SYNDESMOSIS LESIONS UNDERGOING SURGERY
Acta Ortopédica Brasileira
Ankle Fracture
Three-Dimensional Gait Assessment
Syndesmosis
Biomechanics
title GAIT ASSESSMENT IN ANKLE FRACTURES WITH SYNDESMOSIS LESIONS UNDERGOING SURGERY
title_full GAIT ASSESSMENT IN ANKLE FRACTURES WITH SYNDESMOSIS LESIONS UNDERGOING SURGERY
title_fullStr GAIT ASSESSMENT IN ANKLE FRACTURES WITH SYNDESMOSIS LESIONS UNDERGOING SURGERY
title_full_unstemmed GAIT ASSESSMENT IN ANKLE FRACTURES WITH SYNDESMOSIS LESIONS UNDERGOING SURGERY
title_short GAIT ASSESSMENT IN ANKLE FRACTURES WITH SYNDESMOSIS LESIONS UNDERGOING SURGERY
title_sort gait assessment in ankle fractures with syndesmosis lesions undergoing surgery
topic Ankle Fracture
Three-Dimensional Gait Assessment
Syndesmosis
Biomechanics
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522024000600901&lng=en&tlng=en
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