Kinematic Parameters Following Pilon Fracture Treatment with the Ilizarov Method

Background: The purpose of our study was to analyze kinematic parameters following pilon fracture treatment with the Ilizarov method. Methods: Our study assessed kinematic parameters of gait in 23 patients with pilon fractures treated with the Ilizarov method. Patients had completed their treatment...

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Autores principales: Wietecki, Paweł, Pawik, Łukasz, Fink-Lwow, Felicja, Leśkow, Artur, Górski, Radosław, Pawik, Malwina, Olech, Jarosław, Klepacki, Krzysztof, Kuliński, Patryk, Reichert, Paweł, Morasiewicz, Piotr
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9143210/
https://www.ncbi.nlm.nih.gov/pubmed/35628891
http://dx.doi.org/10.3390/jcm11102763
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author Wietecki, Paweł
Pawik, Łukasz
Fink-Lwow, Felicja
Leśkow, Artur
Górski, Radosław
Pawik, Malwina
Olech, Jarosław
Klepacki, Krzysztof
Kuliński, Patryk
Reichert, Paweł
Morasiewicz, Piotr
author_facet Wietecki, Paweł
Pawik, Łukasz
Fink-Lwow, Felicja
Leśkow, Artur
Górski, Radosław
Pawik, Malwina
Olech, Jarosław
Klepacki, Krzysztof
Kuliński, Patryk
Reichert, Paweł
Morasiewicz, Piotr
author_sort Wietecki, Paweł
collection PubMed
description Background: The purpose of our study was to analyze kinematic parameters following pilon fracture treatment with the Ilizarov method. Methods: Our study assessed kinematic parameters of gait in 23 patients with pilon fractures treated with the Ilizarov method. Patients had completed their treatment 24–48 months prior to measurements. The range-of-motion values in the non-operated limb (NOL) and operated limb (OL) were compared. Kinematic parameters were measured using the Noraxon MyoMOTION System. Results: We observed no significant differences in hip flexion, hip abduction, or knee flection between the OLs and NOLs in patients after treatment with the Ilizarov method. We observed significant differences in the ranges of ankle dorsiflexion, inversion, and abduction (p < 0.001; p < 0.001; p < 0.003, respectively) between the OLs and the NOLs. Conclusion: Following pilon fracture treatment with the Ilizarov method, we observed no differences in terms of knee or hip joint mobility between the OL and the NOL, whereas the range of motion in the ankle joint of the OL was significantly limited. The treatment of pilon fractures with the Ilizarov method does not ensure the complete normalization of ankle joint kinematic parameters. Therefore, intense personalized rehabilitation of the ankle joint is recommended.
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spelling pubmed-91432102022-05-29 Kinematic Parameters Following Pilon Fracture Treatment with the Ilizarov Method Wietecki, Paweł Pawik, Łukasz Fink-Lwow, Felicja Leśkow, Artur Górski, Radosław Pawik, Malwina Olech, Jarosław Klepacki, Krzysztof Kuliński, Patryk Reichert, Paweł Morasiewicz, Piotr J Clin Med Article Background: The purpose of our study was to analyze kinematic parameters following pilon fracture treatment with the Ilizarov method. Methods: Our study assessed kinematic parameters of gait in 23 patients with pilon fractures treated with the Ilizarov method. Patients had completed their treatment 24–48 months prior to measurements. The range-of-motion values in the non-operated limb (NOL) and operated limb (OL) were compared. Kinematic parameters were measured using the Noraxon MyoMOTION System. Results: We observed no significant differences in hip flexion, hip abduction, or knee flection between the OLs and NOLs in patients after treatment with the Ilizarov method. We observed significant differences in the ranges of ankle dorsiflexion, inversion, and abduction (p < 0.001; p < 0.001; p < 0.003, respectively) between the OLs and the NOLs. Conclusion: Following pilon fracture treatment with the Ilizarov method, we observed no differences in terms of knee or hip joint mobility between the OL and the NOL, whereas the range of motion in the ankle joint of the OL was significantly limited. The treatment of pilon fractures with the Ilizarov method does not ensure the complete normalization of ankle joint kinematic parameters. Therefore, intense personalized rehabilitation of the ankle joint is recommended. MDPI 2022-05-13 /pmc/articles/PMC9143210/ /pubmed/35628891 http://dx.doi.org/10.3390/jcm11102763 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wietecki, Paweł
Pawik, Łukasz
Fink-Lwow, Felicja
Leśkow, Artur
Górski, Radosław
Pawik, Malwina
Olech, Jarosław
Klepacki, Krzysztof
Kuliński, Patryk
Reichert, Paweł
Morasiewicz, Piotr
Kinematic Parameters Following Pilon Fracture Treatment with the Ilizarov Method
title Kinematic Parameters Following Pilon Fracture Treatment with the Ilizarov Method
title_full Kinematic Parameters Following Pilon Fracture Treatment with the Ilizarov Method
title_fullStr Kinematic Parameters Following Pilon Fracture Treatment with the Ilizarov Method
title_full_unstemmed Kinematic Parameters Following Pilon Fracture Treatment with the Ilizarov Method
title_short Kinematic Parameters Following Pilon Fracture Treatment with the Ilizarov Method
title_sort kinematic parameters following pilon fracture treatment with the ilizarov method
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9143210/
https://www.ncbi.nlm.nih.gov/pubmed/35628891
http://dx.doi.org/10.3390/jcm11102763
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