Combined Effect of Foot Arch Structure and an Orthotic Device on Stress Fractures

Foot & Ankle ◽  
1989 ◽  
Vol 10 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Ariel Simkin ◽  
Isaac Leichter ◽  
Michael Giladi ◽  
Michael Stein ◽  
Charles Milgrom
Keyword(s):  
Stress Fractures ◽  
Lower Limbs ◽  
Orthotic Device ◽  
Military Recruits ◽  
Longitudinal Arch ◽  
Metatarsal Fractures ◽  
Foot Arch ◽  
Military Stress ◽  
A Prospective Study

In a prospective study, quantitative measures of the structure of the longitudinal arch of the foot were established and related to the incidence of stress fractures in the bones of the lower limbs of military recruits. In addition, the role of a semirigid orthotic device (Langer military stress orthotic) in preventing stress fractures was evaluated as a function of the structure of the longitudinal arch. Femoral and tibial stress fractures were found to be more prevalent in the presence of feet with high arches, whereas the incidence of metatarsal fractures was higher in feet with low arches. The use of an orthotic device reduced the incidence of femoral stress fractures only in the presence of feet with high arches and the incidence of metatarsal fractures only among feet with low arches. The findings suggest that the normal foot with a low arch acts as a better shock absorber than the normal foot with a high arch, and that an orthotic device may improve the shock absorbing capacity of the arch.

A Prospective Study of the Effect of a Shock-Absorbing Orthotic Device on the Incidence of Stress Fractures in Military Recruits

Foot & Ankle ◽  
1985 ◽  
Vol 6 (2) ◽  
pp. 101-104 ◽  
Author(s):  
C. Milgrom ◽  
M. Giladi ◽  
H. Kashtan ◽  
A. Simkin ◽  
R. Chisin ◽  
...  
Keyword(s):  
High Risk ◽  
Prospective Study ◽  
Stress Fracture ◽  
Stress Fractures ◽  
Orthotic Device ◽  
Military Recruits ◽  
A Prospective Study

In a prospective study of stress fractures the hypothesis that a shock-absorbing orthotic device worn within military boots could lessen the incidence of stress fractures was tested. The incidence of metatarsal, tibial, and femoral stress fractures was lower in the orthotic group, but only the latter difference was statistically significant. The time of onset and the location of stress fractures between orthotic and nonorthotic users did not differ. These findings suggest that the incidence of femoral stress fractures, which are the most dangerous type of stress fracture because of their high risk of developing into displaced fractures, can be reduced by an orthotic device.

Stress fractures in military recruits. A prospective study showing an unusually high incidence

1985 ◽  
Vol 67-B (5) ◽  
pp. 732-735 ◽  
Author(s):  
C Milgrom ◽  
M Giladi ◽  
M Stein ◽  
H Kashtan ◽  
JY Margulies ◽  
...  
Keyword(s):  
Prospective Study ◽  
Stress Fractures ◽  
Military Recruits ◽  
High Incidence ◽  
A Prospective Study

Role of Pro-inflammatory biomarkers in Hashimoto's thyroiditis: A prospective study

2018 ◽  
Author(s):  
B Ramesh ◽  
B Rajesh ◽  
Reddy B Rajkiran ◽  
G Gayathri ◽  
Reddy M Venkateshwara ◽  
...  
Keyword(s):  
Prospective Study ◽  
Hashimoto’S Thyroiditis ◽  
Inflammatory Biomarkers ◽  
Hashimoto's Thyroiditis ◽  
A Prospective Study

A prospective study of the role of coxsackie B and other enterovirus infections in the pathogenesis of IDDM. Childhood Diabetes in Finland (DiMe) Study Group

Diabetes ◽  
1995 ◽  
Vol 44 (6) ◽  
pp. 652-657 ◽  
Author(s):  
H. Hyoty ◽  
M. Hiltunen ◽  
M. Knip ◽  
M. Laakkonen ◽  
P. Vahasalo ◽  
...  
Keyword(s):  
Prospective Study ◽  
Study Group ◽  
Childhood Diabetes ◽  
A Prospective Study ◽  
Coxsackie B

The role of blood inflammatory markers in the diagnosis of appendicitis in children: a prospective study from a University Hospital in Greece

2020 ◽  
Vol 178 (11) ◽  
Author(s):  
George Sakellaris ◽  
Dimitra Dimopoulou ◽  
Maria Niniraki ◽  
Anastasia Dimopoulou ◽  
Athanasios Alegakis ◽  
...  
Keyword(s):  
Prospective Study ◽  
Inflammatory Markers ◽  
University Hospital ◽  
A Prospective Study

Role of Perioperative Factor XIII in Intracerebral Hemorrhage after Brain Tumor Surgery: A Prospective Study

2019 ◽  
Author(s):  
Estela Val Jordan ◽  
Agustín Nebra Puertas ◽  
Juan Casado Pellejero ◽  
Maria Dolores Vicente Gordo ◽  
Concepción Revilla López ◽  
...  
Keyword(s):  
Brain Tumor ◽  
Intracerebral Hemorrhage ◽  
Prospective Study ◽  
Factor Xiii ◽  
Tumor Surgery ◽  
Brain Tumor Surgery ◽  
A Prospective Study

scholarly journals What Is Currently the Role of TcPO2 in the Choice of the Amputation Level of Lower Limbs? A Comprehensive Review

2021 ◽  
Vol 10 (7) ◽  
pp. 1413
Author(s):  
Judith Catella ◽  
Anne Long ◽  
Lucia Mazzolai
Keyword(s):  
Arterial Disease ◽  
Major Amputation ◽  
Lower Limbs ◽  
Limb Amputation ◽  
Quality Of Data ◽  
Amputation Level ◽  
Increased Risk ◽  
Transcutaneous Oximetry ◽  
Peripheral Arterial

Some patients still require major amputation for lower extremity peripheral arterial disease treatment. The purpose of pre-operative amputation level selection is to determine the most distal amputation site with the highest healing probability without re-amputation. Transcutaneous oximetry (TcPO2) can detect viable tissue with the highest probability of healing. Several factors affect the accuracy of TcPO2; nevertheless, surgeons rely on TcPO2 values to determine the optimal amputation level. Background about the development of TcPO2, methods of measurement, consequences of lower limb amputation level, and the place of TcPO2 in the choice of the amputation level are reviewed herein. Most of the retrospective studies indicated that calf TcPO2 values greater than 40 mmHg were associated with a high percentage of successful wound healing after below-knee-amputation, whereas values lower than 20 mmHg indicated an increased risk of unsuccessful healing. However, a consensus on the precise cut-off value of TcPO2 necessary to assure healing is missing. Ways of improvement for TcPO2 performance applied to the optimization of the amputation-level are reported herein. Further prospective data are needed to better approach a TcPO2 value that will promise an acceptable risk of re-amputation. Standardized TcPO2 measurement is crucial to ensure quality of data.

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