76960 20190709135425.0 doi 10.1053/j.jfas.2016.01.038 sideral 97504 ART-2017-97504 eng Jordán-Palomar, Elena Irene An evaluation of surgical functional reconstruction of the foot using kinetic and kinematic systems: a case report 2017 Access copy available to the general public Unrestricted Most 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. info:eu-repo/semantics/openAccess by-nc-nd http://creativecommons.org/licenses/by-nc-nd/3.0/es/ 1.138 2017 ORTHOPEDICS 56 / 77 = 0.727 2017 Q3 T3 SURGERY 149 / 200 = 0.745 2017 Q3 T3 0.599 2017 Surgery 2017 Q2 Orthopedics and Sports Medicine 2017 Q2 info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion (orcid)0000-0002-8117-1674 Javierre, Etelvina Rey-Vasalo, José Alfaro-Santafé, Víctor (orcid)0000-0002-1878-8997 Gómez-Benito, María José Universidad de Zaragoza 5004 605 Universidad de Zaragoza Dpto. Ingeniería Mecánica Área Mec.Med.Cont. y Teor.Est. 56, 1 (2017), 208-216 J. foot ankle surg. JOURNAL OF FOOT & ANKLE SURGERY 1067-2516 304899 http://zaguan.unizar.es/record/76960/files/texto_completo.pdf Postprint 109034 http://zaguan.unizar.es/record/76960/files/texto_completo.jpg?subformat=icon icon Postprint oai:zaguan.unizar.es:76960 articulos driver 2019-07-09-11:28:40 ARTICLE