کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5122041 1486869 2017 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The effects of total ankle replacement on ankle joint mechanics during walking
ترجمه فارسی عنوان
اثرات کل جایگزین مچ پا در مکانیک مفصلی مچ پا در طی پیاده روی
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی فیزیولوژی
چکیده انگلیسی

BackgroundEnd-stage ankle arthritis impairs joint function and patients' mobility. Total ankle replacement is a surgical procedure to treat severe ankle arthritis. Salto Talaris Anatomic AnkleTM (STAA) was designed to mimic the normal ankle anatomy and flexion/extension of the ankle movement. The purpose of this study was to examine the effect of an STAA ankle replacement on ankle joint function and mechanics during gait.MethodsFive patients with end-stage unilateral ankle arthritis were recruited. Patients performed level walking in a laboratory setting on 2 occasions, prior to and 3 months after the STAA ankle surgeries. American Orthopedic Foot and Ankle Society (AOFAS) hindfoot score was obtained. A 12-camera motion capture system was used to perform walking analysis. Gait temporo-spatial parameters and ankle joint mechanics were evaluated. Paired Student's t tests and non-parametric Wilcoxon matched tests were performed to examine the differences in biomechanical variables between the pre- and post-surgery walking conditions.ResultsCompared to the pre-surgical condition, at 3 months of post-STAA surgery, patients experienced greater improvement in AOFAS hindfoot score (p = 0.0001); the STAA ankle demonstrated a 31% increase in ankle joint excursion (p = 0.045), a 22% increase in ankle plantarflexor moment (p = 0.075), a 60% increase in ankle power absorption (p = 0.023), and a 68% increase in ankle power production (p = 0.039). Patients also demonstrated a 26% increase in walking speed (p = 0.005), a 20% increase in stride length (p = 0.013), a 15% decrease in double support time (p = 0.043), and a 5% decrease in total stance time (p = 0.055).ConclusionThree months after surgeries, the STAA patients experienced improvements in ankle function and gait parameters. The STAA ankle demonstrated improved ankle mechanics during daily activities such as walking.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Sport and Health Science - Volume 6, Issue 3, September 2017, Pages 340-345
نویسندگان
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