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Archives of Orthopaedic and Trauma Surgery

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Open Access 26-12-2022 | Calcaneus Fracture | Trauma Surgery

Pedobarographic evaluation of five commonly used orthoses for the lower extremity

Authors: C. Ehrnthaller, K. Rellensmann, S. F. Baumbach, M. Wuehr, R. Schniepp, M. M. Saller, W. Böcker, Hans Polzer

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 7/2023

Abstract

Introduction

Orthoses are designed to achieve immobilization or off-loading of certain regions of the foot. Yet, their off-loading capacity for the specific regions has not yet been studied. Therefore, the aim of this study was to analyze the plantar pressure distribution of five commonly applied orthoses for foot and ankle in a healthy population.

Materials and Methods

Five orthoses (postoperative shoe, forefoot relief shoe, short walker boot, high walker boot, and calcaneus fracture orthosis) were compared pedobarographically using insoles on a treadmill to a ready-made running shoe in eleven healthy subjects (median age 29 years). Peak pressure, maximum force, force–time integral, contact time, and contact area were evaluated separately for the forefoot, midfoot, and hindfoot.

Results

The forefoot relief shoe, the short- and high walker boot significantly reduced the peak pressure at the forefoot with no significant differences between these orthoses. None of the five orthoses off-loaded the midfoot, but the calcaneus fracture orthosis and the short walker boot instead increased midfoot load. For the hindfoot, the calcaneus fracture orthosis was the only device to significantly reduce the peak pressure.

Conclusions

This is the first study to investigate the specific off-loading capacities of different orthoses for specific foot regions in a healthy collective. The knowledge of absolute and relative load shifts for the different orthoses is of fundamental interest for targeted clinical decision-making of physicians.

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Title: Pedobarographic evaluation of five commonly used orthoses for the lower extremity
Authors: C. Ehrnthaller
K. Rellensmann
S. F. Baumbach
M. Wuehr
R. Schniepp
M. M. Saller
W. Böcker
Hans Polzer
Publication date: 26-12-2022
Publisher: Springer Berlin Heidelberg
Keywords: Calcaneus Fracture
Orthosis
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 7/2023
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-022-04729-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Pedobarographic evaluation of five commonly used orthoses for the lower extremity

Abstract

Introduction

Materials and Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and Methods

Results

Conclusions

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