Clinical outcome and changes in gait pattern after pilon fractures
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ORIGINAL PAPER
Clinical outcome and changes in gait pattern after pilon fractures Hendrik Jansen & Annabel Fenwick & Stefanie Doht & Soenke Frey & Rainer Meffert
Received: 18 October 2012 / Accepted: 6 November 2012 / Published online: 11 December 2012 # Springer-Verlag Berlin Heidelberg 2012
Abstract Purpose Axial burst fractures of the distal tibia are challenging to treat and often lead to restricted function of the lower limb. The purpose of this study was to investigate the clinical outcome and changes in gait pattern in such patients. Methods Thirty-five patients in a level 1 trauma centre were followed up clinically and by gait analysis. The American Orthopaedic Foot and Ankle Society (AOFAS), visual analogue scale (VAS) foot and ankle scale and Phillips scores were applied. Dynamic pedography (emed-M; Novel, Germany) with analyses of load, pressure and force-time integral were undertaken to investigate possible changes in gait pattern. Results Mean follow-up was 50 (19–100) months. Mean AOFAS, VAS foot and ankle and Phillips scores were 65, 63 and 55 points, respectively. There were clear correlations between fracture severity in the Arbeitsgemeinschaft für Osteosynthesefragen (AO) classification and functional outcome in AOFAS (−0.63; p
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