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Load-Bearing Detection with Insole-Force Sensors Provides New Treatment Insights in Fragility Fractures of the Pelvis

Background: Due to an aging society, more and more surgeons are confronted with fragility fractures of the pelvis (FFPs). The aim of treatment of such patients should be the quickest possible mobilization with full weight-bearing. Up to now however, there are no data on loading of the lower extremit...

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Autores principales: Pfeufer, Daniel, Becker, Christopher A., Faust, Leon, Keppler, Alexander M., Stagg, Marissa, Kammerlander, Christian, Böcker, Wolfgang, Neuerburg, Carl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7463446/
https://www.ncbi.nlm.nih.gov/pubmed/32781675
http://dx.doi.org/10.3390/jcm9082551
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author Pfeufer, Daniel
Becker, Christopher A.
Faust, Leon
Keppler, Alexander M.
Stagg, Marissa
Kammerlander, Christian
Böcker, Wolfgang
Neuerburg, Carl
author_facet Pfeufer, Daniel
Becker, Christopher A.
Faust, Leon
Keppler, Alexander M.
Stagg, Marissa
Kammerlander, Christian
Böcker, Wolfgang
Neuerburg, Carl
author_sort Pfeufer, Daniel
collection PubMed
description Background: Due to an aging society, more and more surgeons are confronted with fragility fractures of the pelvis (FFPs). The aim of treatment of such patients should be the quickest possible mobilization with full weight-bearing. Up to now however, there are no data on loading of the lower extremities in patients suffering FFPs. We hypothesized to find differences in loading of the lower limbs. Methods: 22 patients with a mean age of 84.1 years were included. During gait analysis with insole-force sensors, loading on the lower extremities was recorded during early mobilization after index fracture. Results: Especially the average peak force showed differences in loading, as the affected limb was loaded significantly less {59.78% (SD ± 16.15%) of the bodyweight vs. 73.22% (SD ± 14.84%) (p = <0.001, effect size r = 0.58)}. Furthermore, differences in loading in between the fracture patterns of FFPs were observed. Conclusion: This study shows that it is possible to reliably detect the extremity load, with the help of an insole device, in patients presenting with fragility fractures of the pelvis. There is great potential to improve the choice and time of treatment with insole-force sensors in FFPs in future.
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spelling pubmed-74634462020-09-04 Load-Bearing Detection with Insole-Force Sensors Provides New Treatment Insights in Fragility Fractures of the Pelvis Pfeufer, Daniel Becker, Christopher A. Faust, Leon Keppler, Alexander M. Stagg, Marissa Kammerlander, Christian Böcker, Wolfgang Neuerburg, Carl J Clin Med Article Background: Due to an aging society, more and more surgeons are confronted with fragility fractures of the pelvis (FFPs). The aim of treatment of such patients should be the quickest possible mobilization with full weight-bearing. Up to now however, there are no data on loading of the lower extremities in patients suffering FFPs. We hypothesized to find differences in loading of the lower limbs. Methods: 22 patients with a mean age of 84.1 years were included. During gait analysis with insole-force sensors, loading on the lower extremities was recorded during early mobilization after index fracture. Results: Especially the average peak force showed differences in loading, as the affected limb was loaded significantly less {59.78% (SD ± 16.15%) of the bodyweight vs. 73.22% (SD ± 14.84%) (p = <0.001, effect size r = 0.58)}. Furthermore, differences in loading in between the fracture patterns of FFPs were observed. Conclusion: This study shows that it is possible to reliably detect the extremity load, with the help of an insole device, in patients presenting with fragility fractures of the pelvis. There is great potential to improve the choice and time of treatment with insole-force sensors in FFPs in future. MDPI 2020-08-06 /pmc/articles/PMC7463446/ /pubmed/32781675 http://dx.doi.org/10.3390/jcm9082551 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pfeufer, Daniel
Becker, Christopher A.
Faust, Leon
Keppler, Alexander M.
Stagg, Marissa
Kammerlander, Christian
Böcker, Wolfgang
Neuerburg, Carl
Load-Bearing Detection with Insole-Force Sensors Provides New Treatment Insights in Fragility Fractures of the Pelvis
title Load-Bearing Detection with Insole-Force Sensors Provides New Treatment Insights in Fragility Fractures of the Pelvis
title_full Load-Bearing Detection with Insole-Force Sensors Provides New Treatment Insights in Fragility Fractures of the Pelvis
title_fullStr Load-Bearing Detection with Insole-Force Sensors Provides New Treatment Insights in Fragility Fractures of the Pelvis
title_full_unstemmed Load-Bearing Detection with Insole-Force Sensors Provides New Treatment Insights in Fragility Fractures of the Pelvis
title_short Load-Bearing Detection with Insole-Force Sensors Provides New Treatment Insights in Fragility Fractures of the Pelvis
title_sort load-bearing detection with insole-force sensors provides new treatment insights in fragility fractures of the pelvis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7463446/
https://www.ncbi.nlm.nih.gov/pubmed/32781675
http://dx.doi.org/10.3390/jcm9082551
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