Surgical treatment of chronic Achilles tendon rupture results in improved gait biomechanics

Bibliographic Details
Title: Surgical treatment of chronic Achilles tendon rupture results in improved gait biomechanics
Authors: Anna Nordenholm, Eric Hamrin Senorski, Olof Westin, Katarina Nilsson Helander, Michael Möller, Jón Karlsson, Roland Zügner
Source: Journal of Orthopaedic Surgery and Research, Vol 17, Iss 1, Pp 1-8 (2022)
Publisher Information: BMC, 2022.
Publication Year: 2022
Collection: LCC:Orthopedic surgery
LCC:Diseases of the musculoskeletal system
Subject Terms: Gait analysis, Three-dimensional, Late detected, Missed diagnosis, Delayed treatment, Orthopedic surgery, RD701-811, Diseases of the musculoskeletal system, RC925-935
More Details: Abstract Background Chronic Achilles tendon rupture is associated with persistent weakness at push-off with the affected foot and poor balance, resulting in significant alterations to normal gait. Surgical repair is the most common treatment for improving gait in patients with a Chronic Achilles tendon rupture, but, to date, the outcomes have not been quantified in the literature. Methods A total of 23 patients with a Chronic Achilles tendon rupture (mean age 61 ± 15 years) underwent three-dimensional gait analysis according to a standardized protocol using an optical tracking system. Data of spatiotemporal, kinematic and kinetic variables were collected preoperatively and one year postoperatively. In addition, the postoperative gait biomechanics were compared with the gait biomechanics of a control group consisting of 70 healthy individuals (mean age 49 ± 20 years). The prospectively collected data were analyzed by an independent t test. Results Postoperatively, increments were found in gait speed (mean difference − 0.12 m/s), stride length (− 0.12 m), peak ankle moment (− 0.64 Nm/kg), peak ankle power (− 1.38 W/kg), peak knee power (− 0.36 m) and reduced step width (0.01 m), compared with preoperative gait biomechanics (p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1749-799X
Relation: https://doaj.org/toc/1749-799X
DOI: 10.1186/s13018-022-02948-2
Access URL: https://doaj.org/article/0076a4cabecf439f861f7055c97515c5
Accession Number: edsdoj.0076a4cabecf439f861f7055c97515c5
Database: Directory of Open Access Journals
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More Details
ISSN:1749799X
DOI:10.1186/s13018-022-02948-2
Published in:Journal of Orthopaedic Surgery and Research
Language:English