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骨科手术中的步态分析:历史、局限性及未来方向。

Gait Analysis in Orthopaedic Surgery: History, Limitations, and Future Directions.

机构信息

From the Department of Orthopaedic Surgery, Santa Clara Valley Medical Center, San Jose, CA (Hecht), and the Department of Orthopaedic Surgery, Stanford Hospitals and Clinics, Stanford, CA (Van Rysselberghe, Young, and Gardner).

出版信息

J Am Acad Orthop Surg. 2022 Nov 1;30(21):e1366-e1373. doi: 10.5435/JAAOS-D-21-00785. Epub 2022 Aug 26.

Abstract

Gait analysis has expanding indications in orthopaedic surgery, both for clinical and research applications. Early work has been particularly helpful for understanding pathologic gait deviations in neuromuscular disorders and biomechanical imbalances that contribute to injury. Notable advances in image acquisition, health-related wearable devices, and computational capabilities for big data sets have led to a rapid expansion of gait analysis tools, enabling novel research in all orthopaedic subspecialties. Given the lower cost and increased accessibility, new gait analysis tools will surely affect the next generation of objective patient outcome data. This article reviews the basic principles of gait analysis, modern tools available to the common surgeon, and future directions in this space.

摘要

步态分析在矫形外科中的应用不断扩大,无论是在临床还是研究方面。早期的工作对于理解神经肌肉疾病中的病理性步态偏差以及导致损伤的生物力学失衡特别有帮助。在图像采集、与健康相关的可穿戴设备以及大数据集的计算能力方面的显著进步,使得步态分析工具得到了快速扩展,从而使所有矫形亚专科都能够开展新的研究。鉴于成本较低且更容易获得,新的步态分析工具肯定会影响下一代客观的患者结果数据。本文回顾了步态分析的基本原理、普通外科医生可使用的现代工具以及该领域的未来发展方向。

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