Nery Romero Montenegro, de Ataide Giovanni Dela Bianca, Gomes Rafael Clark, Martins Dallianny Gonçalves de Sousa, de Almeida Giovanni Ítalo Gomes, Suassuna Lucas Amaral Shizue, Rolim-Filho Epitácio Leite
Hospital Getulio Vargas, Departamento de Ortopedia e Traumatologia, do Hospital Getúlio Vargas, Recife, Pernambuco, PE, Brazil.
Acta Ortop Bras. 2025 Jan 10;32(6):e281862. doi: 10.1590/1413-785220243206e281862. eCollection 2024.
The three-dimensional evaluation of patients in the gait laboratory is a diagnostic method that is gaining ground in various orthopedic pathologies and, in the case of ankle fractures, can more accurately detail the degree of joint limitation.
To present the importance of laboratory gait studies in the postoperative period of ankle fractures associated with syndesmosis ligament injuries, increasing the arsenal for assessing whether the surgical approach and outcome were satisfactory.
Case series of 13 patients who underwent surgical treatment for ankle fractures associated with syndesmosis injuries, evaluated postoperatively in the gait clinic using the BTS GAITLAB hardware program. Kinetic and kinematic data using a three-dimensional movement system were collected and analyzed.
Alterations were found in the Temporal and Spatial Parameters and in the Statistical Angles of the lower limb joints, comparing the operated limb with the non-operated limb.
The results of the study suggest that, despite subtle variations between the limbs assessed, the program was able to identify these differences in a significant way, demonstrating that gait assessments bring great benefits in understanding biomechanical limitations, and make more effective and individualized rehabilitation protocols possible.
在步态实验室对患者进行三维评估是一种诊断方法，在各种骨科疾病中越来越受到重视，对于踝关节骨折而言，它能够更准确地详细描述关节受限程度。
阐述实验室步态研究在伴有下胫腓联合韧带损伤的踝关节骨折术后的重要性，增加评估手术方式及结果是否令人满意的手段。
对13例因踝关节骨折伴下胫腓联合损伤接受手术治疗的患者进行病例系列研究，术后在步态诊所使用BTS GAITLAB硬件程序进行评估。收集并分析使用三维运动系统获得的动力学和运动学数据。
将患侧肢体与未患侧肢体进行比较，发现下肢关节的时间和空间参数以及统计角度存在改变。
研究结果表明，尽管所评估的肢体之间存在细微差异，但该程序能够以显著方式识别这些差异，表明步态评估在理解生物力学限制方面具有很大益处，并使更有效和个性化的康复方案成为可能。
