Evidence map›Paper›PMID 37109109›Full record

ArticleJournal of clinical medicine2023

In Vivo Foot Segmental Motion and Coupling Analysis during Midterm Follow-Up after the Open Reduction Internal Fixation of Trimalleolar Fractures.

Harm Hoekstra, Olivier Vinckier, Filip Staes, Lisa Berckmans, Jolien Coninx, Giovanni Matricali, Sander Wuite, Eline Vanstraelen, Kevin Deschamps

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Harm HoekstraDepartment of Trauma Surgery, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium.ORCID 0000-0001-8061-1060
Olivier VinckierDepartment of Orthopaedics, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium.
Filip StaesMusculoskeletal Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven-University of Leuven, Tervuursevest 101, 3001 Leuven, Belgium.ORCID 0000-0002-1569-6333
Lisa BerckmansMusculoskeletal Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven-University of Leuven, Tervuursevest 101, 3001 Leuven, Belgium.ORCID 0000-0001-5560-0423
Jolien ConinxMusculoskeletal Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven-University of Leuven, Tervuursevest 101, 3001 Leuven, Belgium.
Giovanni MatricaliDepartment of Development and Regeneration, KU Leuven-University of Leuven, 3000 Leuven, Belgium.ORCID 0000-0001-7370-2175
Sander WuiteDepartment of Development and Regeneration, KU Leuven-University of Leuven, 3000 Leuven, Belgium.
Eline VanstraelenClinical Motion Analysis Laboratory, Campus Pellenberg, University Hospitals Leuven, Weligerveld 1, 3212 Lubbeek, Belgium.
Kevin DeschampsMusculoskeletal Rehabilitation Research Group, Department of Rehabilitation Sciences, KU Leuven-University of Leuven, Tervuursevest 101, 3001 Leuven, Belgium.ORCID 0000-0001-6559-6237
KU Leuven · BEHaute École Léonard de Vinci · BE

Funding

BVOT (Belgian Society of Orthopedics and Traumatology) 4,400 Euro grant
6 · The paper itself

Abstract

purposeTrimalleolar ankle fractures (TAFs) are common traumatic injuries. Studies have described postoperative clinical outcomes in relation to fracture morphology, but less is known about foot biomechanics, especially in patients treated for TAFs. The aim of this study was to analyze segmental foot mobility and joint coupling during the gait of patients after TAF treatment.

methodsFifteen patients, surgically treated for TAFs, were recruited. The affected side was compared to their non-affected side, as well as to a healthy control subject. The Rizzoli foot model was used to quantify inter-segment joint angles and joint coupling. The stance phase was observed and divided into sub-phases. Patient-reported outcome measures were evaluated.

resultsPatients treated for TAFs showed a reduced range of motion in the affected ankle during the loading response (3.8 ± 0.9) and pre-swing phase (12.7 ± 3.5) as compared to their non-affected sides (4.7 ± 1.1 and 16.1 ± 3.1) and the control subject. The dorsiflexion of the first metatarsophalangeal joint during the pre-swing phase was reduced (19.0 ± 6.5) when compared to the non-affected side (23.3 ± 8.7). The affected side's Chopart joint showed an increased range of motion during the mid-stance (1.3 ± 0.5 vs. 1.1 ± 0.6). Smaller joint coupling was observed on both the patient-affected and non-affected sides compared to the controls.

conclusionThis study indicates that the Chopart joint compensates for changes in the ankle segment after TAF osteosynthesis. Furthermore, reduced joint-coupling was observed. However, the minimal case numbers and study power limited the effect size of this study. Nevertheless, these new insights could help to elucidate foot biomechanics in these patients, adjusting rehabilitation programs, thereby lowering the risk of postoperative long-term complications.

Indexed as

coupling analysisfoot segmental motiontrimalleolar ankle fractures

Identifiers

PMID37109109
PMCPMC10146606
OpenAlexW4362733269

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.