Gait Pattern Analysis After All Arthroscopic ATFL Repair Surgery
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Gazi University
- Enrollment
- 25
- Locations
- 1
- Primary Endpoint
- Pedobarography
Study Overview
Brief Summary
The study will investigate alterations in post-surgical gait patterns among patients who have undergone all arthroscopic repair surgery for the anterior talofibular ligament (ATFL) due to ankle instability. The gait biomechanics of patients scheduled for surgery will be assessed preoperatively using pedobarographic analysis. Subsequent changes in walking biomechanics will be evaluated and interpreted at the 3rd and 6th postoperative months. Consequently, the impact of the all arthroscopic anatomical ATFL repair method on walking will be documented.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Basic Science
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Presence of unilateral ankle instability.
- •Planning for all arthroscopic anterior talofibular ligament (ATFL) repair surgery.
Exclusion Criteria
- •Presence of foot and ankle deformities.
- •Presence of orthopedic or neurological pathologies that may affect walking biomechanics.
- •History of prior foot and ankle surgery.
- •Assessment of surgical stability deemed unsuccessful at the 3rd or 6th month postoperative control.
Arms & Interventions
ATFL surgery
All participants will undergo all arthroscopic ATFL repair surgery.
Intervention: All Arthroscopic ATFL Repair Surgery (Procedure)
Outcomes
Primary Outcomes
Pedobarography
Time Frame: 6 months after the surgery
Pedobarographic analysis involves the completion of the platform, pressure sensors, software, and computer installation for gait analysis. In dynamic analysis, the patient takes a step on the platform at a regular walking speed, with arms relaxed at the sides of the body, following a natural gait. In static analysis, measurements are taken while the patient remains stationary on the platform with arms in a free position next to the body. Five measurements are separately recorded for both feet during the step, heel strike, and toe lift phases. These measurements capture the highest pressures on the back of the foot, the middle part of the foot, the inner, middle, lateral side of the front of the foot, and the toes. The plantar pressure distribution obtained from the measurement is divided into desired areas (masks). The pressure, force, and pressure-time integral corresponding to each area are then used to determine how and for how long these areas are exposed to pressure.
Pedobarography
Time Frame: one day before surgery
Pedobarographic analysis involves the completion of the platform, pressure sensors, software, and computer installation for gait analysis. In dynamic analysis, the patient takes a step on the platform at a regular walking speed, with arms relaxed at the sides of the body, following a natural gait. In static analysis, measurements are taken while the patient remains stationary on the platform with arms in a free position next to the body. Five measurements are separately recorded for both feet during the step, heel strike, and toe lift phases. These measurements capture the highest pressures on the back of the foot, the middle part of the foot, the inner, middle, lateral side of the front of the foot, and the toes. The plantar pressure distribution obtained from the measurement is divided into desired areas (masks). The pressure, force, and pressure-time integral corresponding to each area are then used to determine how and for how long these areas are exposed to pressure.
Pedobarography
Time Frame: 3 months after the surgery
Pedobarographic analysis involves the completion of the platform, pressure sensors, software, and computer installation for gait analysis. In dynamic analysis, the patient takes a step on the platform at a regular walking speed, with arms relaxed at the sides of the body, following a natural gait. In static analysis, measurements are taken while the patient remains stationary on the platform with arms in a free position next to the body. Five measurements are separately recorded for both feet during the step, heel strike, and toe lift phases. These measurements capture the highest pressures on the back of the foot, the middle part of the foot, the inner, middle, lateral side of the front of the foot, and the toes. The plantar pressure distribution obtained from the measurement is divided into desired areas (masks). The pressure, force, and pressure-time integral corresponding to each area are then used to determine how and for how long these areas are exposed to pressure.
Secondary Outcomes
- American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS)(6 months after the surgery)
- American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS)(one day before surgery)
- American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS)(3 months after the surgery)
Investigators
İnci Hazal Ayas
Research asistant
Gazi University