Kinner Bernd J, Best Raymond, Falk Kurt, Thon Klaus-Peter
Department of Surgery, Robert-Bosch-Krankenhaus, Stuttgart, Germany.
J Trauma. 2002 Dec;53(6):1094-101; discussion 1102. doi: 10.1097/00005373-200212000-00011.
The treatment of displaced intra-articular calcaneal fractures remains controversial, because of difficulties in assessing the outcome. The goal of this study, therefore, was to compare different outcome measurements with gait analysis, using dynamic pedography.
Twenty patients with operatively treated displaced intra-articular calcaneal fractures were followed up clinically and radiographically. In addition, foot pressure was measured using dynamic pedography.
No significant difference was found between the two clinical outcome scores used (p = 0.08); both revealed good results. Dynamic pedography, however, showed a shift of the maximum impact and roll-off of the foot to the lateral side, as well as a widening of these zones in the heel and on the sole in 14 of 20 patients.
These results indicate that traditional outcome measurements underestimate functional deficits in our patients. Monitoring plantar pressure distribution might therefore be a useful tool for assessing foot function in these patients.
由于评估结果存在困难，移位的关节内跟骨骨折的治疗仍存在争议。因此，本研究的目的是使用动态足底压力测量法，将不同的结果测量方法与步态分析进行比较。
对20例接受手术治疗的移位关节内跟骨骨折患者进行临床和影像学随访。此外，使用动态足底压力测量法测量足部压力。
所使用的两种临床结果评分之间未发现显著差异（p = 0.08）；两者均显示出良好的结果。然而，动态足底压力测量法显示，20例患者中有14例足部最大冲击力和滚动点向外侧移位，足跟和足底这些区域变宽。
这些结果表明，传统的结果测量方法低估了我们患者的功能缺陷。因此，监测足底压力分布可能是评估这些患者足部功能的有用工具。
