Evidence map›Paper›PMID 41188844›Full record

SynthesisBiomedical engineering online2025

Comparison of gait parameters between post-surgery ankle fracture patients and healthy individuals: a systematic review and meta-review.

Qingyan Long, Zhanyu Yang, Tingting Shao, Yuefei Liu

Abstract readSystematic ReviewMeta-AnalysisComparative Study
In one paragraph

Synthesis in Biomedical engineering online, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

4 authors.

Qingyan LongDepartment of Bone and Joint Rehabilitation, Suzhou Ruisheng Rehabilitation Hospital, Suzhou, 215131, China.
Zhanyu YangSports Therapy Department, Suzhou Ruisheng Rehabilitation Hospital, Suzhou, 215131, China.
Tingting ShaoDepartment of Bone and Joint Rehabilitation, Suzhou Ruisheng Rehabilitation Hospital, Suzhou, 215131, China.
Yuefei LiuOrthopaedics Foot and Ankle, Suzhou Ruihua Orthopedic Hospital, Suzhou, 215104, China. 2296822841@qq.com.

Funding

2021 Suzhou Science and Technology Development Plan (Medical and Health Technology Innovation-Applied Basic Research [Second Batch]) SKJYD2021040
6 · The paper itself

Abstract

backgroundPrevious evidence indicates disparities between the recovery of motor function in surgically treated ankle fractures and the functional performance of healthy individuals. However, no systematic review has quantitatively examined these functional differences. This study aimed to summarize and evaluate differences in gait analysis outcomes, muscle strength, and plantar pressure between postoperative ankle fracture patients and healthy controls. DATA SOURCES: A comprehensive electronic search was conducted in PubMed, EMBASE, the Cochrane Library, and Web of Science up to February 2024. Keywords included Ankle Fractures, Gait Analysis, Muscle Strength, Plantar Pressure, and Rehabilitation. STUDY SELECTION: Inclusion criteria were based on the PICOS principle. Eligible studies included cross-sectional and non-randomized observational studies comparing gait analysis outcomes, muscle strength, and plantar pressure between postoperative ankle fracture patients and healthy controls. DATA EXTRACTION: Extracted gait parameters included walking speed, peak dorsiflexion angular velocity, peak plantarflexion angular velocity, step length, single support time, and cadence. Muscle strength measures included peak torque of dorsiflexion and plantarflexion, as well as the cross-sectional area (CSA) of thigh muscles. Plantar pressure outcomes included mean and peak plantar pressure and contact time. Risk of bias was assessed using the Agency for Healthcare Research and Quality (AHRQ) tool and the Methodological Index for Non-Randomized Studies (MINORS). DATA SYNTHESIS: Heterogeneity among studies was assessed using Cochrane's Q test and the I

resultsTwelve studies comprising 219 postoperative ankle fracture patients and 192 healthy controls were included. Compared with healthy controls, postoperative ankle fracture patients showed significant impairments across several gait parameters. They exhibited slower walking speed (WMD = - 0.13, 95% CI [- 0.45, - 0.16], P < 0.001, I

conclusionsDespite rehabilitation leading to improvements, patients often failed to regain pre-injury levels of walking speed, muscle strength, and normal plantar pressure distribution. Further research is warranted to clarify the pathological mechanisms underlying impaired recovery.

Indexed as

Ankle FracturesGaitHumansMuscle StrengthPostoperative PeriodPressureAnkle fracturesGait analysisMeta-analysisMuscle strengthPlantar pressureRehabilitationSystematic review

Identifiers

PMID41188844
PMCPMC12584260

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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.