| Title |
Ein neues, kontinuierliches Ganganalysesystem zur Nachbehandlung von Sprunggelenkfrakturen
|
|---|---|
| Published in |
Die Unfallchirurgie, February 2017
|
| DOI | 10.1007/s00113-017-0332-3 |
| Pubmed ID | |
| Authors |
B. J. Braun, N. T. Veith, S. C. Herath, R. Hell, M. Rollmann, M. Orth, J. H. Holstein, T. Pohlemann |
| Abstract |
Correct aftercare following lower extremity fractures remains a controversial issue. Reliable, clinically applicable weight-bearing recommendations have not yet been defined. The aim of the current study was to establish a new gait analysis insole during physical therapy aftercare of ankle fractures to test patients' continuous, long-term compliance to partial weight-bearing restrictions and investigate whether patients can estimate their weight-bearing compliance. The postoperative gait of 14 patients after operative treatment of Weber B-type ankle fractures was monitored continuously for six weeks (OpenGO, Moticon GmbH, Munich). All patients were instructed and trained by physical therapists on how to maintain partial weight-bearing for this time. Discontinuous (three, six and twelve weeks) clinical (patient questionnaire, visual analogue pain score [VAS]) and radiographic controls were performed. Despite the set weight-bearing limits, individual ranges for overall weight-bearing (range 5-107% of the contralateral side) and patient activity (range 0-366 min/day) could be shown. A good correlation between weight-bearing and pain was seen (rs = -0.68; p = <0.0001). Patients significantly underestimated their weight-bearing time over the set limit (2.3 ± 1.4 min/day vs. real: 12.6 ± 5.9 min/day; p < 0.01). Standardized aftercare protocols and repeated training alone cannot ensure compliance to postoperative partial weight-bearing. Patients unconsciously increased weight-bearing based on their pain level. This study shows that new, individual and possibly technology-assisted weight-bearing regimes are needed. The introduced measuring device is feasible to monitor and steer patient weight-bearing during future studies. |
Mendeley readers
The data shown below were compiled from readership statistics for 18 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 18 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Doctoral Student | 3 | 17% |
| Lecturer | 1 | 6% |
| Researcher | 1 | 6% |
| Unknown | 13 | 72% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 2 | 11% |
| Engineering | 2 | 11% |
| Unknown | 14 | 78% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 March 2018.
All research outputs
#22,764,772
of 25,382,440 outputs
Outputs from Die Unfallchirurgie
#439
of 819 outputs
Outputs of similar age
#285,618
of 324,937 outputs
Outputs of similar age from Die Unfallchirurgie
#5
of 46 outputs
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