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Multisegment Foot Models and Clinical Application After Foot and Ankle Trauma: A Review
Affiliation:1. Professor, Division of Trauma Surgery, Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands;2. Professor, School for Nutrition and Translational Research in Metabolism, NUTRIM, Maastricht, The Netherlands;1. Surgeon, AO Research Institute Davos, Davos, Switzerland;2. Assistant Professor, Department of Orthopedics and Rehabilitation, University of Florida, Gainesville, FL;3. Surgeon, Department of Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Jena, Germany;4. Surgeon, Department of Foot and Ankle Surgery, Catholic Clinic Mainz, Mainz, Germany;5. Professor, AO Research Institute Davos, Davos, Switzerland;6. Surgeon, Private Docent, Department of Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Jena, Germany;7. Surgeon, Professor, Department of Orthopedic Trauma, University of Aachen Medical Center, Aachen, Germany;8. Department of Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Jena, Germany;1. Associate Professor of Orthopaedics, Alexandria University, Alexandria, Egypt;2. Consultant Orthopaedic Surgeon, Elhadara University Hospital, Elhadara, Lambrouzou, Alexandria, Egypt;3. Associate Professor of Orthopaedics, Mansoura University, Mansoura, Egypt;4. Consultant Orthopaedic Surgeon, Mansoura University Hospital, Mansoura, Egypt;5. Lecturer of Orthopaedics, Mansoura University, Mansoura, Egypt;6. Orthopedic Resident, Elhadara University Hospital, Elhadara, Lambrouzou, Alexandria, Egypt;1. Resident, Heritage Valley Health Systems, Beaver, PA;2. Section Chief, Department of Podiatry, Department of Surgery, St. Elizabeth Health Center, Youngstown, OH;1. Surgeon, Department of Orthopedic Surgery and Sport Trauma, University Hospital of Geneva, Geneva, Switzerland;2. Biostatician, Department of Biostatistics, Public Health and Medical Information, Groupe Hospitalier Pitié-Salpêtrière-Charles Foix, Assistance Publique-Hôpitaux de Paris, Paris, France;3. Surgeon, Department of Orthopedic Surgery and Sport Trauma, Groupe Hospitalier Pitié-Salpêtrière-Charles Foix, Assistance Publique-Hôpitaux de Paris, Paris, France;1. School of Physical Therapy and Athletic Training, Old Dominion University, 1121 Health Sciences Building, Norfolk, VA 23529, United States;2. Department of Applied Medicine and Rehabilitation, Indiana State University, Arena B83, 401 North 4th Street, Terre Haute, IN 47809, United States;3. School of Physical Therapy and Athletic Training, Old Dominion University, 3120 Health Sciences Building, Norfolk, VA 23529, United States
Abstract:Since the end of the 1990s, several multisegment foot models (MSFMs) have been developed. Several models were used to describe foot and ankle kinematics in patients with foot and ankle pathologies; however, the diagnostic value for clinical practice of these models is not known. This review searched in the literature for studies describing kinematics in patients after foot and ankle trauma using an MSFM. The diagnostic value of the MSFMs in patients after foot and ankle trauma was also investigated. A search was performed on the databases PubMed/MEDLINE, Embase, and Cochrane Library. To investigate the diagnostic value of MSFMs in patients after foot and ankle trauma, studies were classified and analyzed following the diagnostic research questions formulated by Knottnerus and Buntinx. This review was based on 7 articles. All studies were published between 2010 and 2015. Five studies were retrospective studies, and 2 used an intervention. Three studies described foot and ankle kinematics in patients after fractures. Four studies described foot and ankle kinematics in patients after ankle sprain. In all included studies, altered foot and ankle kinematics were found compared with healthy subjects. No results on patient outcome using MSFMs and costs were found. Seven studies were found reporting foot and ankle kinematics in patients after foot and ankle trauma using an MSFM. Results show altered kinematics compared with healthy subjects, which cannot be seen by other diagnostic tests and add valuable data to the present literature; therefore, MSFMs seem to be promising diagnostic tools for evaluating foot and ankle kinematics. More research is needed to find the additional value for MSFMs regarding patient outcome and costs.
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