Kinematic parameters after tibial nonunion treatment using the Ilizarov method
Abstract Background Analysis of the outcomes of Ilizarov treatment of tibial nonunion shows functional deficits in the lower limbs of some patients. Biomechanical gait parameters are an important measure for assessing musculoskeletal disorder treatments that aim to restore normal gait. The purpose o...
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-022-05683-1 |
| _version_ | 1818018747022049280 |
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| author | Łukasz Pawik Felicja Fink-Lwow Andżelika Pajchert Kozłowska Łukasz Szelerski Radosław Górski Malwina Pawik Paweł Reichert Piotr Morasiewicz |
| author_facet | Łukasz Pawik Felicja Fink-Lwow Andżelika Pajchert Kozłowska Łukasz Szelerski Radosław Górski Malwina Pawik Paweł Reichert Piotr Morasiewicz |
| author_sort | Łukasz Pawik |
| collection | DOAJ |
| description | Abstract Background Analysis of the outcomes of Ilizarov treatment of tibial nonunion shows functional deficits in the lower limbs of some patients. Biomechanical gait parameters are an important measure for assessing musculoskeletal disorder treatments that aim to restore normal gait. The purpose of our study was to compare the kinematic parameters in patients with tibial nonunion treated using the Ilizarov method and those in a control group of healthy volunteers. Methods The study population consisted of 23 patients (age 54.9 ± 16.4 years) who were treated for tibial nonunion using the Ilizarov method, as well as 22 healthy adult controls (age 52.7 ± 10.6 years). Kinematic parameters were measured using a Noraxon MyoMOTION System. We measured hip flexion and abduction, knee flexion, ankle dorsiflexion, inversion, and abduction during walking. Results Our analysis showed significant differences between the patients’ operated limbs (OLs) and the controls’ nondominant limbs (NDLs) in the ranges of hip flexion, hip abduction, and knee flexion. We observed no significant differences in knee flexion between the OL and the NOL in patients or between the dominant limb (DL) and NDL in controls. Our evaluation of the kinematic parameters of the ankle joint demonstrated significant differences between the patients’ OLs and the controls’ NDLs in the ranges of ankle dorsiflexion, ankle inversion, and ankle abduction. There were also significant differences in the range of ankle dorsiflexion and ankle abduction between the patients’ NOLs and the controls’ DLs. Conclusion Tibial nonunion treatment using the Ilizarov method does not ensure complete normalization of kinematic parameters assessed 24–48 months following the completion of treatment and rehabilitation. |
| first_indexed | 2024-04-14T07:42:55Z |
| format | Article |
| id | doaj.art-0a3725b59dff46b8819d8fccd6583309 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-14T07:42:55Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-0a3725b59dff46b8819d8fccd65833092022-12-22T02:05:25ZengBMCBMC Musculoskeletal Disorders1471-24742022-07-0123111010.1186/s12891-022-05683-1Kinematic parameters after tibial nonunion treatment using the Ilizarov methodŁukasz Pawik0Felicja Fink-Lwow1Andżelika Pajchert Kozłowska2Łukasz Szelerski3Radosław Górski4Malwina Pawik5Paweł Reichert6Piotr Morasiewicz7Department of Physiotherapy in Motor Disorders and Dysfunctions, Wroclaw University of Health and Sport SciencesDepartment of Massage and Physical Therapy, Faculty of Physiotherapy, Wroclaw University of Health and Sport SciencesDepartment and Clinic of Orthopaedic and Traumatologic Surgery, Wroclaw Medical UniversityDepartment of Orthopedics and Musculoskeletal Traumatology, Medical University of WarsawDepartment of Orthopedics and Musculoskeletal Traumatology, Medical University of WarsawDepartment of Massage and Physical Therapy, Faculty of Physiotherapy, Wroclaw University of Health and Sport SciencesDepartment of Trauma and Hand Surgery, Wroclaw Medical UniversityDepartment and Clinic of Orthopaedic and Traumatologic Surgery, Wroclaw Medical UniversityAbstract Background Analysis of the outcomes of Ilizarov treatment of tibial nonunion shows functional deficits in the lower limbs of some patients. Biomechanical gait parameters are an important measure for assessing musculoskeletal disorder treatments that aim to restore normal gait. The purpose of our study was to compare the kinematic parameters in patients with tibial nonunion treated using the Ilizarov method and those in a control group of healthy volunteers. Methods The study population consisted of 23 patients (age 54.9 ± 16.4 years) who were treated for tibial nonunion using the Ilizarov method, as well as 22 healthy adult controls (age 52.7 ± 10.6 years). Kinematic parameters were measured using a Noraxon MyoMOTION System. We measured hip flexion and abduction, knee flexion, ankle dorsiflexion, inversion, and abduction during walking. Results Our analysis showed significant differences between the patients’ operated limbs (OLs) and the controls’ nondominant limbs (NDLs) in the ranges of hip flexion, hip abduction, and knee flexion. We observed no significant differences in knee flexion between the OL and the NOL in patients or between the dominant limb (DL) and NDL in controls. Our evaluation of the kinematic parameters of the ankle joint demonstrated significant differences between the patients’ OLs and the controls’ NDLs in the ranges of ankle dorsiflexion, ankle inversion, and ankle abduction. There were also significant differences in the range of ankle dorsiflexion and ankle abduction between the patients’ NOLs and the controls’ DLs. Conclusion Tibial nonunion treatment using the Ilizarov method does not ensure complete normalization of kinematic parameters assessed 24–48 months following the completion of treatment and rehabilitation.https://doi.org/10.1186/s12891-022-05683-1GaitKinematic parametersNoraxon MyoMOTION SystemNonunionTibiaIlizarov method |
| spellingShingle | Łukasz Pawik Felicja Fink-Lwow Andżelika Pajchert Kozłowska Łukasz Szelerski Radosław Górski Malwina Pawik Paweł Reichert Piotr Morasiewicz Kinematic parameters after tibial nonunion treatment using the Ilizarov method BMC Musculoskeletal Disorders Gait Kinematic parameters Noraxon MyoMOTION System Nonunion Tibia Ilizarov method |
| title | Kinematic parameters after tibial nonunion treatment using the Ilizarov method |
| title_full | Kinematic parameters after tibial nonunion treatment using the Ilizarov method |
| title_fullStr | Kinematic parameters after tibial nonunion treatment using the Ilizarov method |
| title_full_unstemmed | Kinematic parameters after tibial nonunion treatment using the Ilizarov method |
| title_short | Kinematic parameters after tibial nonunion treatment using the Ilizarov method |
| title_sort | kinematic parameters after tibial nonunion treatment using the ilizarov method |
| topic | Gait Kinematic parameters Noraxon MyoMOTION System Nonunion Tibia Ilizarov method |
| url | https://doi.org/10.1186/s12891-022-05683-1 |
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