Change in gait biomechanics after total ankle replacement and ankle arthrodesis: a systematic review and meta-analysis

Besse, Jean-Luc; Naaïm, Alexandre; Leemrijse, Thibaut; Birch, Ivan; Bevernage, Bernhard Devos; Chèze, Laurence

doi:10.1016/j.clinbiomech.2020.01.015

Cited by 34 publications

(36 citation statements)

References 54 publications

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“…In this study, a mobile treadmill was used to assess the gait pattern at the final follow-up. Our findings were consistent with those of Deleu et al [ 17 ]. The increased external rotation during walking compensates for the diminished movement in the ankle.…”

Section: Discussionsupporting

confidence: 94%

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Exergaming as a Functional Test Battery in Patients Who Received Arthroscopic Ankle Arthrodesis: Cross-sectional Pilot Study

Hendrickx¹,

Avoird²,

Pilot³

et al. 2021

JMIR Rehabil Assist Technol

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Background Recently, movement-based videogames (exergames) have gained popularity in improving the rehabilitation process after surgery. During exergaming, participants are physically challenged as the game component stimulates adherence to the training program. There is no literature on the effect of exergame training interventions in patients who received arthroscopic ankle arthrodesis. Objective This pilot study assessed the potency of an existing exergaming tool for the rehabilitation program of patients who received arthroscopic ankle arthrodesis. Methods A cross-sectional pilot study was performed, in which patients who received arthroscopic ankle arthrodesis (n=8) were subjected to an exergaming protocol. Gait analysis was performed with a treadmill system. A healthy age-matched control group (n=10) was used as the control group. Results The patient group was capable of performing exergaming exercises and they showed no floor or ceiling effect. Only in case of the overall stability, the patient group performed significantly less better than the control group ( P =.03). Gait analysis showed equal step length with increased external rotation of the affected limb. Conclusions Exergaming seems to be a valuable tool for measuring the ability of patients who received AAA to perform activities of daily living and it has the potential to individualize rehabilitation programs. When exergaming is systematically integrated with patient-reported outcome measures and activity tracking, it has the potential to improve the quality of care.

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Section: Discussionsupporting

confidence: 94%

“…Therefore, gait analysis is done in many AAA studies. Deleu et al [ 17 ] quantified the alterations in gait in their meta-analysis. They observed an increase in the walking speed, while step length remained constant.…”

Section: Discussionmentioning

confidence: 99%

Exergaming as a Functional Test Battery in Patients Who Received Arthroscopic Ankle Arthrodesis: Cross-sectional Pilot Study

Hendrickx¹,

Avoird²,

Pilot³

et al. 2021

JMIR Rehabil Assist Technol

View full text Add to dashboard Cite

show abstract

“…Therefore, additional research during post-operative follow-up to monitor potential compensatory mechanisms in adjacent joints is mandatory. It is, for example, believed that the disappearance of pain in the tibiotalar joint might lead to increased load in distal foot joints, due to gait adaptations [11]. Gait analysis research should therefore perhaps not only focus on the expected gait biomechanical changes, but also investigate the potential function loss and biomechanical alterations after an ankle arthrodesis in the adjacent (foot) joints.…”

Section: Introductionmentioning

confidence: 99%

“…Indeed, a recent systematical review underlined the need for enhancing our understanding of the functional compensatory adaptations of adjacent joints-especially neighboring foot joints in patients with tibiotalar OA [11]. In the past, this has been difficult, due to technical limitations in three-dimensional (3D) gait analysis [12].…”

Section: Introductionmentioning

confidence: 99%

The Biomechanical Behavior of Distal Foot Joints in Patients with Isolated, End-Stage Tibiotalar Osteoarthritis Is Not Altered Following Tibiotalar Fusion

Eerdekens

Deschamps

Wuite

et al. 2020

JCM

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Ankle arthrodesis is considered to be an optimal treatment strategy to relieve pain during walking in patients with isolated, end-stage tibiotalar osteoarthritis. The aim of this study was to investigate the post-operative effect of an arthrodesis on the ankle and foot joint biomechanics. We included both patients (n = 10) and healthy reference data (n = 17). A multi-segment foot model was used to measure the kinematics and kinetics of the ankle, Chopart, Lisfranc, and first metatarsophalangeal joints during a three-dimensional (3D) gait analysis. These data, together with patient reported outcome measures, were collected at baseline (pre-operative) and one year post-operatively. Patients experienced a decrease in pain and an increase in general well-being after surgery. Compared to the baseline measurements, patients only demonstrated a significant average post-operative increase of 0.22 W/kg of power absorption in the ankle joint. No other significant differences were observed between baseline and post-operative measurements. Current findings suggest that the biomechanical behavior of distal foot joints is not altered one year after fusion. The pain relief achieved by the arthrodesis improved the loading patterns during walking. Clinical significance of this study dictates that patients do not have to fear a loss in biomechanical functionality after an ankle arthrodesis.

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“…11 These models have the potential to better describe the complex function of the ankle and foot joints 12,13 and could furthermore enhance our understanding of the functional compensatory adaptations of the neighbouring joints. 14 Recently, the clinical relevance of multi-segment kinetic foot modelling was demonstrated in research on healthy subjects, patients with ankle osteoarthritis 14 and children with planovalgus feet deformities. 15 It was for example discussed that the midfoot joints take up to 40% of the total power generation in the foot and ankle complex.…”

mentioning

confidence: 99%

The biomechanical behaviour of ankle and foot joints during walking with shoes in patients with haemophilia

et al. 2020

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In patients with haemophilia (PwH), the ankle joint is most prone to recurrent bleeding episodes that set up a complex pathogenesis resulting in synovial hypertrophy, bone cysts, ankylosis and eventually end-stage arthritis. 1,2 This phenomenon, called haemophilic ankle arthropathy, is currently the most disabling comorbidity in PwH 3 and leads to functional limitations and pain during walking. 4 Several conservative treatment strategies have been proposed to manage these functional limitations and pain during walking, such as therapeutic footwear and foot orthoses. 4-6 Although conventional walking shoes are not specifically designed for therapeutic purposes, clinical experience dictates that patients often prefer walking

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Change in gait biomechanics after total ankle replacement and ankle arthrodesis: a systematic review and meta-analysis

Cited by 34 publications

References 54 publications

Exergaming as a Functional Test Battery in Patients Who Received Arthroscopic Ankle Arthrodesis: Cross-sectional Pilot Study

Exergaming as a Functional Test Battery in Patients Who Received Arthroscopic Ankle Arthrodesis: Cross-sectional Pilot Study

The Biomechanical Behavior of Distal Foot Joints in Patients with Isolated, End-Stage Tibiotalar Osteoarthritis Is Not Altered Following Tibiotalar Fusion

The biomechanical behaviour of ankle and foot joints during walking with shoes in patients with haemophilia

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