Abstract:
INTRODUCTION:In children treated for idiopathic equinovarus clubfoot (EVCF), the relation between morphologic defects on clinical examination and standard X-ray on the one hand and functional abnormalities on the other is difficult to objectify. The aim of the present study was to demonstrate the feasibility of combined 3D analysis of the foot and lower limb based on biplanar EOS radiographs and gait analysis. The study hypothesis was that this provides better understanding of abnormalities in form and function. METHODS:Ten children with unilateral EVCF and "very good" clinical results were included. They underwent gait analysis on the Rizzoli Institute multisegment foot model. Kinematic data were collected for the hip, knee, ankle and foot (hindfoot/midfoot, midfoot/forefoot and hindfoot/forefoot). Biplanar EOS radiographs were taken to determine anatomic landmarks and radiological parameters. RESULTS:Complete acquisition time was around 2hours per patient. No significant differences were found between EVCF and healthy feet except for calcaneal incidence, tibiocalcaneal angle and hindfoot/midfoot and hindfoot/forefoot inversion. DISCUSSION:The feasibility of the combined analysis was confirmed. There were no differences in range of motion, moment or power between EVCF and healthy feet in this series of patients with very good results. The functional results are related to radiological results within the normal range. The protocol provided anatomic and kinematic reference data. A larger-scale study could more objectively assess the contribution of EOS radiography using optoelectronic markers. LEVEL OF EVIDENCE:II, low-power prospective study.
journal_name
Orthop Traumatol Surg Resjournal_title
Orthopaedics & traumatology, surgery & research : OTSRauthors
Rampal V,Rohan PY,Pillet H,Bonnet-Lebrun A,Fonseca M,Desailly E,Wicart P,Skalli Wdoi
10.1016/j.otsr.2019.11.013subject
Has Abstractpub_date
2020-11-01 00:00:00pages
1333-1337issue
7issn
1877-0568pii
S1877-0568(19)30407-4journal_volume
106pub_type
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章
doi:10.1016/j.otsr.2011.11.004
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章
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更新日期:2019-11-01 00:00:00
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章,评审
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章,多中心研究
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更新日期:2014-12-01 00:00:00
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章,多中心研究
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章
doi:10.1016/j.otsr.2016.05.010
更新日期:2016-09-01 00:00:00
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章
doi:10.1016/j.otsr.2017.01.018
更新日期:2017-09-01 00:00:00
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章
doi:10.1016/j.otsr.2020.02.026
更新日期:2020-12-01 00:00:00
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章
doi:10.1016/j.otsr.2013.09.018
更新日期:2014-04-01 00:00:00
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章,多中心研究
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更新日期:2019-09-01 00:00:00
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章
doi:10.1016/j.otsr.2019.07.011
更新日期:2019-11-01 00:00:00
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章
doi:10.1016/j.otsr.2017.03.020
更新日期:2017-10-01 00:00:00
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章,多中心研究
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更新日期:2016-12-01 00:00:00
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章,评审
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章
doi:10.1016/j.otsr.2018.10.024
更新日期:2019-04-01 00:00:00
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章
doi:10.1016/j.otsr.2020.01.010
更新日期:2020-05-01 00:00:00
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
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更新日期:2019-04-01 00:00:00
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章,多中心研究,评审
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更新日期:2014-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-02-01 00:00:00
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更新日期:2016-05-01 00:00:00
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章
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更新日期:2016-06-01 00:00:00
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章
doi:10.1016/j.otsr.2018.05.010
更新日期:2018-11-01 00:00:00
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章
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更新日期:2017-09-01 00:00:00
abstract:INTRODUCTION:Fixed-bearing total knee arthroplasty (TKA) implants have excellent long-term survival. Mobile-bearing implants were developed to reduce bone-implant interface stresses and polyethylene insert wear. The primary objective of this study was to analyze the survival rate of a highly congruent mobile-bearing TK...
journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章
doi:10.1016/j.otsr.2015.01.016
更新日期:2015-06-01 00:00:00
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journal_title:Orthopaedics & traumatology, surgery & research : OTSR
pub_type: 杂志文章
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更新日期:2017-12-01 00:00:00