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首页> 外文期刊>Osteoarthritis and cartilage >Coronal plane ankle alignment, gait, and end-stage ankle osteoarthritis.
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Coronal plane ankle alignment, gait, and end-stage ankle osteoarthritis.

机译：冠状平面踝关节对准，步态和终末期踝关节骨关节炎。

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OBJECTIVE: Unilateral ankle osteoarthritis (OA) is a debilitating condition which may lead to limb deformity, severe pain, and functional disability due to tibiotalar malalignment and gait dysfunction. The purpose of this study was to determine if coronal plane alignment (varus, valgus, or neutral) of the ankle resulted in different spatial-temporal gait mechanics, clinically-assessed function, and self-reported function in patients with end-stage ankle OA. METHODS: Following informed consent, 96 patients with end-stage unilateral ankle OA were radiographically categorized as having varus, valgus, or neutral tibiotalar alignment. Each subject completed the foot and ankle disability index (FADI) questionnaire to assess self-reported function. The spatial-temporal parameters of interest (stance time, step length, stride length, stride width, single-support time, double support time, and walking speed) were assessed while the subject walked at a self-selected speed. RESULTS: The varus group performed the timed up and go test significantly faster than the other groups (P=0.05). All other variables were similar between the three alignment groups. CONCLUSION: There was little difference in gait mechanics and function between patients with end-stage OA based on coronal plane ankle alignment suggesting that factors other than coronal plane alignment contribute to diminished function.
机译：目的：单侧踝骨关节炎（OA）是一种使人衰弱的疾病，可能由于胫距骨畸形和步态障碍而导致肢体畸形，严重疼痛和功能障碍。这项研究的目的是确定踝关节冠状动脉的冠状平面对准（内翻，外翻或中性）是否导致不同的时空步态力学，临床评估功能和自我报告功能。方法：经过知情同意，将96例终末期单侧脚踝OA患者在影像学上分为内翻，外翻或中性胫距对准。每位受试者均完成了足踝残疾指数（FADI）问卷，以评估自我报告的功能。在受试者以自选速度行走时，评估了感兴趣的时空参数（站立时间，步长，步幅长度，步幅宽度，单支撑时间，双支撑时间和步行速度）。结果：内翻组的定时跑去测试明显快于其他组（P = 0.05）。三个比对组之间的所有其他变量相似。结论：基于冠状平面脚踝对准的晚期OA患者的步态力学和功能差异不大，提示除冠状平面对准以外的其他因素也可导致功能减弱。

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