000076960 001__ 76960
000076960 005__ 20190709135425.0
000076960 0247_ $$2doi$$a10.1053/j.jfas.2016.01.038
000076960 0248_ $$2sideral$$a97504
000076960 037__ $$aART-2017-97504
000076960 041__ $$aeng
000076960 100__ $$aJordán-Palomar, Elena Irene
000076960 245__ $$aAn evaluation of surgical functional reconstruction of the foot using kinetic and kinematic systems: a case report
000076960 260__ $$c2017
000076960 5060_ $$aAccess copy available to the general public$$fUnrestricted
000076960 5203_ $$aMost pedobarographic studies of microsurgical foot reconstruction have been retrospective. In the present study, we report the results from a prospective pedobarographic study of a patient after microsurgical reconstruction of her foot with a latissimus dorsi flap and a cutaneous paddle, with a 42-month follow-up period. We describe the foot reconstruction plan and the pedobarographic measurements and analyzed its functional outcome. The goal of the present study was to demonstrate that pedobarography could have a role in the treatment of foot reconstruction from a quantitative perspective. The pedobarographic measurements were recorded after the initial coverage surgery and 2 subsequent foot remodeling procedures. A total of 4 pedobarographic measurements and 2 gait analyses were recorded and compared for both the noninvolved foot and the injured foot. Furthermore, the progress of the reconstructed foot was critically evaluated using this method. Both static and dynamic patterns were compared at subsequent follow-up visits after the foot reconstruction. The values and progression of the foot shape, peak foot pressure (kPa), average foot pressure (kPa), total contact surface (cm2), loading time (%), and step time (ms) were recorded. Initially, the pressure distribution of the reconstructed foot showed higher peak values at nonanatomic locations, revealing a greater ulceration risk. Over time, we found an improvement in the shape and values of these factors in the involved foot. To homogenize the pressure distribution and correct the imbalance between the 2 feet, patient-specific insoles were designed and fabricated. In our patient, pedobarography provided an objective, repeatable, and recordable method for the evaluation of the reconstructed foot. Pedobarography can therefore provide valuable insights into the prevention of pressure ulcers and optimization of rehabilitation.
000076960 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000076960 590__ $$a1.138$$b2017
000076960 591__ $$aORTHOPEDICS$$b56 / 77 = 0.727$$c2017$$dQ3$$eT3
000076960 591__ $$aSURGERY$$b149 / 200 = 0.745$$c2017$$dQ3$$eT3
000076960 592__ $$a0.599$$b2017
000076960 593__ $$aSurgery$$c2017$$dQ2
000076960 593__ $$aOrthopedics and Sports Medicine$$c2017$$dQ2
000076960 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000076960 700__ $$0(orcid)0000-0002-8117-1674$$aJavierre, Etelvina
000076960 700__ $$aRey-Vasalo, José
000076960 700__ $$aAlfaro-Santafé, Víctor
000076960 700__ $$0(orcid)0000-0002-1878-8997$$aGómez-Benito, María José$$uUniversidad de Zaragoza
000076960 7102_ $$15004$$2605$$aUniversidad de Zaragoza$$bDpto. Ingeniería Mecánica$$cÁrea Mec.Med.Cont. y Teor.Est.
000076960 773__ $$g56, 1 (2017), 208-216$$pJ. foot ankle surg.$$tJOURNAL OF FOOT & ANKLE SURGERY$$x1067-2516
000076960 8564_ $$s304899$$uhttps://zaguan.unizar.es/record/76960/files/texto_completo.pdf$$yPostprint
000076960 8564_ $$s109034$$uhttps://zaguan.unizar.es/record/76960/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint
000076960 909CO $$ooai:zaguan.unizar.es:76960$$particulos$$pdriver
000076960 951__ $$a2019-07-09-11:28:40
000076960 980__ $$aARTICLE