ArticleBMC musculoskeletal disorders2022
Clinical assessments and gait analysis for patients with Trimalleolar fractures in the early postoperative period.
Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Comparison of gait parameters between post-surgery ankle fracture patients and healthy individuals: a systematic review and meta-review.Biomedical engineering online · 2025Pooled it
- Influence of posterior malleolar fragment size on clinical function and spatiotemporal gait parameters in trimalleolar ankle fractures.BMC surgery · 2026Article
- Retrospective Analysis of Movement Data Before and After an Ankle Fracture: A Descriptive Study Using Apple Health.Mayo Clinic proceedings. Digital health · 2026Article
- Advancements in the diagnosis and management of complex trimalleolar ankle fractures: A comprehensive review.World journal of orthopedics · 2026Review
- Persistent functional deficits after ankle fracture surgery: A long-term gait and functional analysis.Journal of orthopaedics · 2025Article
- Article
- Medial meniscus injury changed plantar pressure distributions and decreased posture stability especially in those with varus alignment: a cross-sectional study based on a wearable smart plantar pressure system.Journal of orthopaedic surgery and research · 2025Article
- Ankle Fracture Gait Training Through Musical Feedback: case study.JOSPT cases · 2025Article
- Three-dimensional gait analysis of orthopaedic common foot and ankle joint diseases.Frontiers in bioengineering and biotechnology · 2024Review
- Comprehensive Physiotherapy Protocol in Post-operative Case of Trimalleolar Fracture: A Case Report.Cureus · 2023Article
- Analysis of Dynamic Plantar Pressure and Influence of Clinical-Functional Measures on Their Performance in Subjects with Bimalleolar Ankle Fracture at 6 and 12 Months Post-Surgery.Sensors (Basel, Switzerland) · 2023Article
- Effects of age, body height, body weight, body mass index and handgrip strength on the trajectory of the plantar pressure stance-phase curve of the gait cycle.Frontiers in bioengineering and biotechnology · 2023Article
- Physiotherapy Rehabilitation Strategies for Post-operative Trimalleolar Ankle Fracture: A Case Report.Cureus · 2022Article
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Authors and funding
7 authors at 3 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTrimalleolar fracture is a common ankle fracture with serious complications and costly healthcare problem. Most studies used clinical assessments to evaluate the functional status of the patients. Although clinical assessments are valid, they are static and subjective. Dynamic, objective and precise evaluations such as gait analysis are needed. Ankle biomechanics studies on gait in patients with trimalleolar fractures are still rare. This study aimed to investigate the clinical outcomes and gait biomechanics in patients with trimalleolar fractures in the early postoperative period and compared to healthy controls.
methodsThis was a cross-sectional study. 12 patients with trimalleolar fractures were recruited, and 12 healthy people served as controls. All patients underwent clinical assessments: Olerud and Molander ankle score (OMAS), ankle swelling and passive range of motion (ROM) of ankle, and completed gait biomechanical analysis when weight-bearing was allowed: temporal-spatial parameters, plantar pressure distributions, and surface electromyography (sEMG). The control group only performed gait test.
resultsPatients had poor outcomes of clinical assessments in the short-term. During gait analysis, patients presented compromised gait patterns: shorter step length, larger step width, slower walking speed and shorter single support compared to healthy controls (P < 0.001), and patients showed asymmetrical gait. Symmetry index of step width and walking speed were mainly correlated with the difference of ankle inversion ROM between two sides (R = -0.750, P = 0.005; R = -0.700, P = 0.011). During walking, patients showed abnormal dynamic plantar pressure features (mainly in the hindfoot and forefoot regions), and the IEMG (integrated electromyography) of tibial anterior muscle (TA) and peroneal longus muscle (PL) were larger than healthy controls (P = 0.002, 0.050).
conclusionsPatients with trimalleolar fractures showed physical impairments of the ankle, and presented altered gait parameters compared to healthy subjects in the short-term. The ankle stability of patients declined, and deficits in TA and PL muscle ability might contribute to it. Restoring complete muscle functions and improving passive ankle ROM are significant to promote the recovery of a normal gait pattern.
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