scholarly journals Assessment of Lower Limb Load Distribution in Patients Treated with the Ilizarov Method for Tibial Nonunion

2021 ◽  
Vol 27 ◽  
Author(s):  
Łukasz Pawik ◽  
Andżelika Pajchert-Kozłowska ◽  
Łukasz Szelerski ◽  
Sławomir Żarek ◽  
Radosław Górski ◽  
...  
Keyword(s):  
Lower Limb ◽  
Load Distribution ◽  
Ilizarov Method ◽  
Tibial Nonunion ◽  
Limb Load

Dynamic Gait Parameters in Patients with Nonunion of the Tibia Following Treatment with the Ilizarov Method

2021 ◽  
Author(s):  
Andzelika Pajchert Kozlowska ◽  
Lukasz Pawik ◽  
Lukasz Szelerski ◽  
Slawomir Zarek ◽  
Radoslaw Górski ◽  
...  
Keyword(s):  
Maximum Force ◽  
Control Group ◽  
Ilizarov Method ◽  
Dynamic Parameters ◽  
Symmetrical Distribution ◽  
Gait Parameters ◽  
Tibial Nonunion ◽  
Parameter Values ◽  
Dynamic Gait ◽  
Experimental Group

Abstract INTRODUCTION: The purpose of this study was a comprehensive assessment of the dynamic parameters of gait in patients who underwent Ilizarov treatment for nonunion of the tibia. MATERIALS AND METHODS: The experimental group consisted of24 individuals treated with the Ilizarov method for nonunion of the tibia.The control group comprised31healthy individuals,matched for BMI,sex,and age.The dynamic gait parameters in patients and in the control group were measured with a Zebris pedobarographic platform. RESULTS: The treatment group and the control group showed statistically significant differences in terms of the following gait parameters:Maximum force 1NOL(non-operated-limb),Time maximum force1OL(operated-limb),Time maximum force 1 NOL,Maximum force 2NOL,Time maximum force 2OL,and Maximum force forefoot OL.Most of the evaluated gait parameters were bilaterally similar in patients group.The only significant differences between the operated and non-operated limb were seen in terms of Time maximum force 2and Maximum force forefoot. CONCLUSIONS: The most pronounced abnormalities in dynamic gait parameters were observed in the forefoot.The patients treated with the Ilizarov method did not achieve a complete normalization of dynamic gait parameters,as their gait parameters did not equal those measured in the control group.The Ilizarov method for the treatment of tibial nonunion helps restore a symmetrical distribution of gait parameter values between the affected limb and the healthy limb.Patients with tibial nonunion treated with the Ilizarov method continue to show some abnormalities in their dynamic gait parameters after treatment.

Physical sciences

2020 ◽  
Vol 44 (6) ◽  
pp. 373-383
Author(s):  
Phillip M Stevens
Keyword(s):  
Clinical Application ◽  
Upper Limb ◽  
Lower Limb ◽  
Material Science ◽  
Load Distribution ◽  
Educational Needs ◽  
Physical Sciences ◽  
Material Sciences ◽  
To Come ◽  
Original Edition

In the original edition of Prosthetics and Orthotics International, Dr Sidney Fishman identified what he anticipated as foundational educational needs for the emerging field of clinical prosthetics and orthotics. Within the broader construct of the physical sciences, this included mathematics, physics, chemistry, biomechanics, and material sciences. The clinical application of these disciplines to expanding the collective understanding within the field is described, including the biomechanics of able-bodied and prosthetic gait, the material science of socket construction, the physics of suspension and load distribution, and the engineering of prosthetic components to mimic human biomechanics. Additional applications of the physical sciences to upper limb prosthetics and lower limb orthotics are also described. In contemplating the continued growth and maturation of the field in the years to come, mechatronics and statistics are suggested as future areas where clinical proficiency will be required.

scholarly journals Clinical factors affecting lower limb torsional deformities treatment with the Ilizarov method

2014 ◽  
Vol 100 (6) ◽  
pp. 631-636 ◽  
Author(s):  
P. Morasiewicz ◽  
J. Filipiak ◽  
K. Krysztoforski ◽  
S. Dragan
Keyword(s):  
Lower Limb ◽  
Ilizarov Method ◽  
Clinical Factors ◽  
Factors Affecting

scholarly journals Infected tibial nonunions: Treatment by the Ilizarov method - multicentric study

2012 ◽  
Vol 140 (1-2) ◽  
pp. 65-70
Author(s):  
Zoran Vukasinovic ◽  
Dusko Spasovski ◽  
Cedomir Vucetic ◽  
Vesna Jovanovic ◽  
Igor Seslija ◽  
...  
Keyword(s):  
Average Length ◽  
Functional Results ◽  
Bone Transport ◽  
Complex Problem ◽  
Lower Limbs ◽  
Ilizarov Method ◽  
Local Infection ◽  
Laboratory Findings ◽  
Multicentric Study ◽  
Tibial Nonunion

Introduction. Associated bone tissue defect and infection, commonly result in non-healing, i.e. by the development of infected tibial nonunion. Objective. The aim of the paper was to present experiences acquired in the treatment of this problem by the application of the Ilizarov method. Methods. The analyses enrolled 16 patients diagnosed with infected tibial nonunion. The Ilizarov method was used in all the patients, of type bilocal synchronous compressive-distractive or bilocal alternating compressive-distractive. Bone and functional results were classified as excellent, good, fair and poor. Total follow-up period of the patients was 48.77?41.57 months on the average. Results. Fifteen (93.75%) cases of nonunions were successfully healed. According to the laboratory findings of inflammation, the same patients were also successfully treated for local infection. The inequality of the lower limbs was also resolved by new bone formation of average length of 5.75?3.29 cm. Poor result was verified in one (6.25%) patient only. The patient satisfaction was scored 3.73?1.33 and physician?s satisfaction 4.33?1.11. Conclusion. The Ilizarov method with bone transport, because of being capable to solve simultaneously a local infection and tibial malalignement, and by substituting bone and soft tissue defects, thus enabling healing of until then unhealed bone, has shown as the best method in the treatment of this complex problem, infected tibial nonunions.

The effect of perceived LLD on lower limb load characteristics during early postoperative static standing in patients who underwent THA

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e799
Author(s):  
K. Kumashiro ◽  
M. Morishita ◽  
K. Kawamura ◽  
T. Kawakami ◽  
H. Shiode
Keyword(s):  
Lower Limb ◽  
Load Characteristics ◽  
Limb Load

War-related infected tibial nonunion with bone and soft-tissue loss treated with bone transport using the Ilizarov method

2009 ◽  
Vol 130 (6) ◽  
pp. 739-749 ◽  
Author(s):  
Marko Bumbaširević ◽  
Slavko Tomić ◽  
Aleksandar Lešić ◽  
Ivan Milošević ◽  
Henry Dushan E. Atkinson
Keyword(s):  
Soft Tissue ◽  
Bone Transport ◽  
Tissue Loss ◽  
Ilizarov Method ◽  
Tibial Nonunion ◽  
Soft Tissue Loss

Voluntary limb-load distribution in horses with acute and chronic laminitis

2001 ◽  
Vol 62 (9) ◽  
pp. 1393-1398 ◽  
Author(s):  
David M. Hood ◽  
Ilka P. Wagner ◽  
Danny D. Taylor ◽  
Gordon W. Brumbaugh ◽  
M. Keith Chaffin
Keyword(s):  
Load Distribution ◽  
Limb Load

scholarly journals Assessment of the quality of life in patients with varying degrees of equalization of lower limb length discrepancy treated with Ilizarov method

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Łukasz Pawik ◽  
Malwina Pawik ◽  
Zdzisława Wrzosek ◽  
Felicja Fink-Lwow ◽  
Piotr Morasiewicz
Keyword(s):  
Quality Of Life ◽  
Lower Limb ◽  
Limb Length Discrepancy ◽  
Limb Length ◽  
Control Group ◽  
Ilizarov Method ◽  
Healthy Individuals ◽  
Self Assessment ◽  
Length Discrepancy

Abstract Background Inequalities in leg length result in functional disorders, as they impair the biomechanics of the musculoskeletal system, significantly reducing the quality of life (QoL). This study used the WHOQoL-BREF questionnaire in patients with varying degrees of lower leg shortness who had undergone treatment by the Ilizarov method, compared to a healthy control group. Methods Fifty-eight patients treated with the Ilizarov method for discrepancies in lower limb length were grouped by degree of limb equalization (group 1, 37 treated individuals with limb length discrepancy < 1 cm; group 2, 21 individuals with discrepancy ≥ 1 cm but not more than 4 cm). The control group 3 contained 61 healthy individuals. Patient quality of life (QoL) was assessed using a shortened version of the WHOQoL-BREF questionnaire, at least 24 months after the end of Ilizarov therapy. Results Control subjects obtained higher scores in all domains than subjects in both treatment groups, as well as significantly higher self-assessed QoL, and health, in the physical, psychological, social, and general lifestyle domains, as compared to those with inequalities ≥ 1 cm. Furthermore, patients with inequalities ≥ 1 cm had higher odds ratios of low self-assessment (3.28 times; p = 0.043), low self-assessment of health (4. 09 times; p = 0.047), and low physical and psychological domains (respectively 6.23 times; p = 0.005 and 8.46 times, p = 0.049) compared with patients with inequality < 1 cm. The shortened version of the WHOQoL questionnaire was used. Conclusions After at least 24 months of treatment with the Ilizarov method, patients with limb length discrepancy < 1 cm did not differ significantly from healthy individuals in the WHOQoL self-assessment of mental functioning, social, or life satisfaction.

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