van Hoeve Sander, Poeze Martijn
Professor, Division of Trauma Surgery, Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
Professor, Division of Trauma Surgery, Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands; Professor, School for Nutrition and Translational Research in Metabolism, NUTRIM, Maastricht, The Netherlands.
J Foot Ankle Surg. 2019 Jul;58(4):748-754. doi: 10.1053/j.jfas.2018.11.013. Epub 2019 Apr 20.
Since the end of the 1990s, several multisegment foot models (MSFMs) have been developed. Several models were used to describe foot and ankle kinematics in patients with foot and ankle pathologies; however, the diagnostic value for clinical practice of these models is not known. This review searched in the literature for studies describing kinematics in patients after foot and ankle trauma using an MSFM. The diagnostic value of the MSFMs in patients after foot and ankle trauma was also investigated. A search was performed on the databases PubMed/MEDLINE, Embase, and Cochrane Library. To investigate the diagnostic value of MSFMs in patients after foot and ankle trauma, studies were classified and analyzed following the diagnostic research questions formulated by Knottnerus and Buntinx. This review was based on 7 articles. All studies were published between 2010 and 2015. Five studies were retrospective studies, and 2 used an intervention. Three studies described foot and ankle kinematics in patients after fractures. Four studies described foot and ankle kinematics in patients after ankle sprain. In all included studies, altered foot and ankle kinematics were found compared with healthy subjects. No results on patient outcome using MSFMs and costs were found. Seven studies were found reporting foot and ankle kinematics in patients after foot and ankle trauma using an MSFM. Results show altered kinematics compared with healthy subjects, which cannot be seen by other diagnostic tests and add valuable data to the present literature; therefore, MSFMs seem to be promising diagnostic tools for evaluating foot and ankle kinematics. More research is needed to find the additional value for MSFMs regarding patient outcome and costs.
自20世纪90年代末以来，已经开发了几种多节段足部模型（MSFM）。有几种模型被用于描述足踝病变患者的足踝运动学；然而，这些模型在临床实践中的诊断价值尚不清楚。本综述在文献中搜索了使用MSFM描述足踝创伤后患者运动学的研究。还研究了MSFM在足踝创伤后患者中的诊断价值。在PubMed/MEDLINE、Embase和Cochrane图书馆数据库中进行了检索。为了研究MSFM在足踝创伤后患者中的诊断价值，按照Knottnerus和Buntinx提出的诊断研究问题对研究进行了分类和分析。本综述基于7篇文章。所有研究均发表于2010年至2015年之间。5项研究为回顾性研究，2项采用了干预措施。3项研究描述了骨折后患者的足踝运动学。4项研究描述了踝关节扭伤后患者的足踝运动学。在所有纳入的研究中，与健康受试者相比，发现足踝运动学发生了改变。未发现使用MSFM的患者结局和成本方面的结果。发现有7项研究报告了使用MSFM的足踝创伤后患者的足踝运动学。结果显示与健康受试者相比运动学发生了改变，这是其他诊断测试无法看到的，并且为现有文献增添了有价值的数据；因此，MSFM似乎是评估足踝运动学的有前景的诊断工具。需要更多的研究来发现MSFM在患者结局和成本方面的附加价值。
