title: Pedobarography in the Assessment of Postoperative Calcaneal Fracture Pressure With Gait.
abstract: The purpose of the present study was to evaluate the benefits and importance of pedobarography in the diagnosis and treatment of plantar pressure changes in the postoperative follow-up of calcaneus fractures treated with open reduction and internal fixation. The 28 patients included 23 males (82%) and 5 females (18%). The clinical evaluation was performed using the American Orthopaedic Foot and Ankle Society hindfoot scoring system. The Böhler and Gissane angles were measured on the preoperative and postoperative radiographs. In the postoperative follow-up period (mean ± standard deviation 22.25 ± 10.8 months), all the patients underwent analysis with a dynamic pedobarogram. Because the arch index of the operated feet was 29.73% and that of the nonoperated feet was 28.94%, a similar slightly low arch was seen in both feet (p = .078). When the plantar surface maximum pressures were evaluated, a significant reduction was seen in the operated feet in the second, third, fourth, and fifth metatarsals and the medial hindfoot (p < .05). Displaced intra-articular calcaneus fractures resulted in a significant reduction in maximum pressure of the second, third, fourth, and fifth metatarsals and the medial hindfoot. Also, the hindfoot pressure was lateralized. Pedobarography is a simple and useful method for the diagnosis of plantar pressure changes occurring postoperatively.
authors.affiliation: Orthopaedic Surgeon, Department of Orthopaedics, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey.
authors.forename: Yasin
authors.initials: Y
authors.lastname: Genc
authors.affiliation: Orthopaedic Surgeon, Department of Orthopaedics, Kocaeli Derince Training and Research Hospital, Istanbul, Turkey.
authors.forename: Alper
authors.initials: A
authors.lastname: Gultekin
authors.affiliation: Orthopaedic Surgeon, Department of Orthopaedics, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey.
authors.forename: Tahir Mutlu
authors.initials: TM
authors.lastname: Duymus
authors.affiliation: Orthopaedic Surgeon, Department of Orthopaedics, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey. Electronic address: drserhatmutlu@yahoo.com.
authors.forename: Serhat
authors.initials: S
authors.lastname: Mutlu
authors.affiliation: Orthopaedic Surgeon, Department of Orthopaedics, Taksim Training and Research Hospital, Istanbul, Turkey.
authors.forename: Harun
authors.initials: H
authors.lastname: Mutlu
authors.affiliation: Orthopaedic Surgeon, Department of Orthopaedics, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey.
authors.forename: Baran
authors.initials: B
authors.lastname: Komur
mesh_terms: D000328:Adult; D002111:Calcaneus / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D018409:Foot Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005684:Gait / Q000502:physiology*; D006801:Humans; D057072:Intra-Articular Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011312:Pressure; D011859:Radiography; D015203:Reproducibility of Results; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
keywords: Böhler's angle; Gissane's angle; calcaneus; injury; subtalar joint; surgery