Piotr Morasiewicz1, Szymon Dragan2, Szymon Łukasz Dragan2, Zdzisława Wrzosek3, Łukasz Pawik3. 1. Wrocław Medical University, Department and Clinic of Orthopaedic and Traumatologic Surgery, Borowska 213, 50-556 Wrocław, Poland. Electronic address: morasp@poczta.onet.pl. 2. Wrocław Medical University, Department and Clinic of Orthopaedic and Traumatologic Surgery, Borowska 213, 50-556 Wrocław, Poland. 3. University of Physical Education in Wrocław, The Chair of Physiotherapy and occupational therapy in Motor System Dysfunctions, Paderewskiego 35, 51-612 Wrocław, Poland.
Abstract
BACKGROUND: Symmetrical distribution of the load of the lower limbs and balance are among the determinants of proper biomechanics of the musculoskeletal system. So far, it has not been elucidated whether the correction of the axis and the equalization of the length of the lower limbs allow for achieving proper balance and load distribution. The aim of the present study was to compare load distribution and balance of patients who underwent Ilizarov method corticotomies with healthy controls. METHODS: The clinical studies evaluated 57 patients, who underwent corticotomy with the Ilizarov method. The control group consisted of 59 healthy volunteers. The evaluation assessed the distribution of the load of the lower limbs and balance using pedobarographic platform. FINDINGS: In the study group operated limb bore 48.02% of the load on average, while the healthy limb 51.98%. These differences were not statistically significant. The average percentage of load in limbs in treated and control groups did not differ significantly. In the study group, the average length of path of the center of gravity was 145.47cm. In the control group, the average length of path of the center of gravity was 112.69cm. In the study group, the average area of the center of gravity was 7.54cm(2), while in the control group it was 5.19cm(2). INTERPRETATION: Ilizarov method corticotomy allows for the obtainment value of the load distribution of the lower limbs in the study group not significantly different from those in a control group, but does not ensure the achievement of completely normal balance.
BACKGROUND: Symmetrical distribution of the load of the lower limbs and balance are among the determinants of proper biomechanics of the musculoskeletal system. So far, it has not been elucidated whether the correction of the axis and the equalization of the length of the lower limbs allow for achieving proper balance and load distribution. The aim of the present study was to compare load distribution and balance of patients who underwent Ilizarov method corticotomies with healthy controls. METHODS: The clinical studies evaluated 57 patients, who underwent corticotomy with the Ilizarov method. The control group consisted of 59 healthy volunteers. The evaluation assessed the distribution of the load of the lower limbs and balance using pedobarographic platform. FINDINGS: In the study group operated limb bore 48.02% of the load on average, while the healthy limb 51.98%. These differences were not statistically significant. The average percentage of load in limbs in treated and control groups did not differ significantly. In the study group, the average length of path of the center of gravity was 145.47cm. In the control group, the average length of path of the center of gravity was 112.69cm. In the study group, the average area of the center of gravity was 7.54cm(2), while in the control group it was 5.19cm(2). INTERPRETATION: Ilizarov method corticotomy allows for the obtainment value of the load distribution of the lower limbs in the study group not significantly different from those in a control group, but does not ensure the achievement of completely normal balance.
Authors: Łukasz Pawik; Felicja Fink-Lwow; Andżelika Pajchert Kozłowska; Łukasz Szelerski; Sławomir Żarek; Radosław Górski; Malwina Pawik; Wiktor Urbanski; Paweł Reichert; Piotr Morasiewicz Journal: Int J Environ Res Public Health Date: 2021-04-16 Impact factor: 3.390