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An Evaluation of Surgical Functional Reconstruction of the Foot Using Kinetic and Kinematic Systems: A Case Report
- Source :
- The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons. 56(1)
- Publication Year :
- 2014
-
Abstract
- Most pedobarographic studies of microsurgical foot reconstruction have been retrospective. In the present study, we report the results from a prospective pedobarographic study of a patient after microsurgical reconstruction of her foot with a latissimus dorsi flap and a cutaneous paddle, with a 42-month follow-up period. We describe the foot reconstruction plan and the pedobarographic measurements and analyzed its functional outcome. The goal of the present study was to demonstrate that pedobarography could have a role in the treatment of foot reconstruction from a quantitative perspective. The pedobarographic measurements were recorded after the initial coverage surgery and 2 subsequent foot remodeling procedures. A total of 4 pedobarographic measurements and 2 gait analyses were recorded and compared for both the noninvolved foot and the injured foot. Furthermore, the progress of the reconstructed foot was critically evaluated using this method. Both static and dynamic patterns were compared at subsequent follow-up visits after the foot reconstruction. The values and progression of the foot shape, peak foot pressure (kPa), average foot pressure (kPa), total contact surface (cm2), loading time (%), and step time (ms) were recorded. Initially, the pressure distribution of the reconstructed foot showed higher peak values at nonanatomic locations, revealing a greater ulceration risk. Over time, we found an improvement in the shape and values of these factors in the involved foot. To homogenize the pressure distribution and correct the imbalance between the 2 feet, patient-specific insoles were designed and fabricated. In our patient, pedobarography provided an objective, repeatable, and recordable method for the evaluation of the reconstructed foot. Pedobarography can therefore provide valuable insights into the prevention of pressure ulcers and optimization of rehabilitation.
- Subjects :
- Adult
medicine.medical_specialty
Orthotic Devices
Time Factors
Kinematics
030230 surgery
Risk Assessment
Weight-Bearing
03 medical and health sciences
Crush Injuries
0302 clinical medicine
Injury Severity Score
medicine
Humans
Orthopedics and Sports Medicine
Latissimus dorsi flap
Foot pressure
Pedobarography
Foot Injuries
Postoperative Care
030222 orthopedics
Wound Healing
business.industry
Graft Survival
Accidents, Traffic
Recovery of Function
Plastic Surgery Procedures
Gait
Myocutaneous Flap
Surgery
Biomechanical Phenomena
Functional reconstruction
Treatment Outcome
Foot reconstruction
Female
business
Foot (unit)
Stockings, Compression
Follow-Up Studies
Subjects
Details
- ISSN :
- 15422224
- Volume :
- 56
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
- Accession number :
- edsair.doi.dedup.....63187f67f15cbd633ae0e6b38c0c5723