Effects of weight-bearing exercise and CareRing treatment on cardiovascular variables in 30-40s women with prolonged standing at work

Category: Trauma Introduction/Purpose: Calcaneus fractures most often occur as a result of a high-energy injury in patients of working age. While it is known that patients will require time to recover, the rate of return to work and at what time frame is not well known. The purpose of this registry is to evaluate return to work issues after surgical treatment of a displaced calcaneus fracture treated operatively with plate fixation by a sinus tarsi approach. Methods: Subjects with displaced intra-articular calcaneal fractures surgically treated with a variable angle locking calcaneal plate by a sinus tarsi approach were included in a registry. Descriptive statistics were calculated for demographics, pre-operative, operative and post-operative characteristics. Results: The registry included 27 consecutive patients. According to Sanders classification, nine cases (33.3%) had type II fractures, sixteen cases (59.3%) had type III, and two cases (7.4) had type IV fractures. 23/27 (85%) patients were able to return to work at their pre injury occupation involving prolonged standing. Four (4) of the 23 patients required work restrictions, Return to work occurred at an average of 16.5 weeks from injury (range 9-22 weeks) for individuals with weight bearing occupations. One patient was able to return at 4 weeks to a temporary sit down position. Three (3) patients were unable to return to their prior occupation. Return to work information was unknown for 1 patient. Conclusion: The data demonstrates that patients treated for displaced intra articular calcaneus fractures with a variable angle locking plate by a sinus tarsi approach return to work to standing occupations at a high rate. The return to work data may be used to counsel patients and employers on realistic return to work expectations.

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Single Hemicerclage for Lateral Type B Malleolar Fracture - A Novel, Minimal and Reliable Osteosynthesis

Swiss Surgery ◽

10.1024/1023-9332.9.6.283 ◽

2003 ◽

Vol 9 (6) ◽

pp. 283-288

Author(s):

Maurer ◽

Stamenic ◽

Stouthandel ◽

Ackermann ◽

Gonzenbach

Keyword(s):

Ankle Joint ◽

Weight Bearing ◽

Fracture Type ◽

Type B ◽

Malleolar Fracture ◽

Metallic Wire ◽

Long Term Outcome ◽

X Ray ◽

Upper Ankle Joint ◽

Upper Ankle

Aim of study: To investigate the short- and long-term outcome of patients with isolated lateral malleolar fracture type B treated with a single hemicerclage out of metallic wire or PDS cord. Methods: Over an 8-year period 97 patients were treated with a single hemicerclage for lateral malleolar fracture type B and 89 were amenable to a follow-up after mean 39 months, including interview, clinical examination and X-ray controls. Results: The median operation time was 35 minutes (range 15-85 min). X-ray controls within the first two postoperative days revealed an anatomical restoration of the upper ankle joint in all but one patient. The complication rate was 8%: hematoma (2 patients), wound infection (2), Sudeck's dystrophy (2) and deep vein thrombosis (1). Full weight-bearing was tolerated at median 6.0 weeks (range 2-26 weeks). No secondary displacement, delayed union or consecutive arthrosis of the upper ankle joint was observed. All but one patient had restored symmetric joint mobility. Ninety-seven percent of patients were satisfied or very satisfied with the outcome. Following bone healing, hemicerclage removal was necessary in 19% of osteosyntheses with metallic wire and in none with PDS cord. Conclusion: The single hemicerclage is a novel, simple and reliable osteosynthesis technique for isolated lateral type B malleolar fractures and may be considered as an alternative to the osteosynthesis procedures currently in use.

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Force Plate Analysis of Dogs with Bilateral Hip Dysplasia Treated with a Unilateral Triple Pelvic Osteotomy: A Long-term Review of Cases

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0038-1632616 ◽

1998 ◽

Vol 11 (02) ◽

pp. 85-93 ◽

Cited By ~ 10

Author(s):

Joanne R. Cockshutt ◽

H. Dobson ◽

C. W. Miller ◽

D. L. Holmberg ◽

Connie L. Taves ◽

...

Keyword(s):

Gait Analysis ◽

Hip Dysplasia ◽

Weight Bearing ◽

Force Plate ◽

Case Series ◽

Pelvic Osteotomy ◽

Vertical Force ◽

Long Term Outcome ◽

Case Series Study

SummaryA retrospective case series study was done to determine the long-term outcome of operations upon dogs treated for canine hip dysplasia by means of a triple pelvic osteotomy (TPO). Twentyfour dogs with bilateral hip dysplasia, that received a unilateral TPO between January 1988 and June 1995, were re-examined at the Ontario Veterinary College. The assessment included physical, orthopedic and lameness examinations, standard blood work, pelvic radiographs and force plate gait analysis. They were compared to bilaterally dysplastic dogs that had not been treated, and also to normal dogs. Force plate data analysis demonstrated a significant increase in peak vertical force (PVF) and mean vertical force over stance (MVF) in the limb that underwent surgical correction by means of a TPO, when compared to the unoperated hip. It was determined that performing a unilateral TPO on a young dysplastic dog resulted in greater forces and weight bearing being projected through the TPO corrected limb when compared to the unoperated limb.Dogs with bilateral hip dysplasia treated with a unilateral triple pelvic osteotomy (TPO) were assessed by force plate gait analysis, radiographs and orthopedic examination. There was a significant increase in hip Norberg angles over time, although degenerative changes did progress. Limbs that had been operated upon had significantly greater peak and mean ground reaction forces than limbs that had not received an operation.

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Resection of the Inferior Tuberosity of the Calcaneous Associated with Microsurgical Reconstruction in Cutaneous Losses of the Weight-Bearing Area of the Foot

Journal of Reconstructive Microsurgery ◽

10.1055/s-2006-949023 ◽

2006 ◽

Vol 22 (04) ◽

Author(s):

Mario Kuwae

Keyword(s):

Weight Bearing ◽

Microsurgical Reconstruction ◽

Weight Bearing Area

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Effects of weigh-bearing and non-weight bearing exercise on markers of bone turnover during short-term weigh loss in overweight premenopausal women

10.32469/10355/6069 ◽

2008 ◽

Author(s):

Joanne V. Loethen

Keyword(s):

Bone Turnover ◽

Weight Bearing ◽

Premenopausal Women ◽

Short Term ◽

Markers Of Bone Turnover

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PHYSIOTHERAPY AFTER SURGICALLY STABILIZED PROXIMAL TIBIA FRACTURE

Trakia Journal of Sciences ◽

10.15547/tjs.2020.02.011 ◽

2020 ◽

Vol 18 (2) ◽

pp. 156-160

Author(s):

R. Tasheva

Keyword(s):

Proximal Tibia ◽

Weight Bearing ◽

Lateral Compartment ◽

Recovery Phase ◽

Knee Extension ◽

Tibia Fracture ◽

Extension Deficit ◽

Proximal Tibia Fracture ◽

Ao Classification ◽

Correct Function

THE AIM OF THIS STUDY is to present the physiotherapy for overcoming the substitution movements and to restore the correct function in the phase of relative protection after surgical stabilized proximal tibia fracture. Material and method Seven patients after fracture in the proximal lateral compartment of the tibia (type b1 in AO classification) with an average age of 42, 9 years were treated. After surgery, an average of 30 days of the brace was used for relative protection. The aim of the physiotherapy was to overcome muscle imbalance to achieve proper movement in the respective planes. Emphasis on recovery was the proper weight bearing on the operated lower limb. RESULTS The results of the first recovery phase demonstrated very limited knee flexion in range of 22, 7º, and knee extension deficit in the range of -15º. After two weeks the results progressed to 115, 5º flexion and full restoration of the extension. Control of edema and hypotrophy of the thigh were proven by circumference. CONCLUSION The adequate physiotherapy provides overcoming of the substitution movements and to restore the correct knee function in the phase of relative protection after surgical stabilized fracture in the proximal tibia.

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FULL WEIGHT BEARING KINEMATIC MRI STUDY OF TT-TG DISTANCE: COMPARING PATIENTS WITH PATELLOFEMORAL PAIN TO HEALTHY INDIVIDUALS

Medicinos teorija ir praktika ◽

10.15591/mtp.2015.100 ◽

2015 ◽

Vol 21 (4.1) ◽

pp. 638-642

Author(s):

Andrius Brazaitis ◽

Algirdas Tamosiunas ◽

Janina Tutkuviene

Keyword(s):

Patellar Instability ◽

Weight Bearing ◽

Patellofemoral Pain ◽

Full Weight Bearing ◽

Trochlear Groove ◽

Patellar Tilt ◽

Full Extension ◽

Low Degrees ◽

Mri Study ◽

Kinematic Magnetic Resonance Imaging

Purpose. The aim of the present study was to investigate tibial tuberosity-trochlear groove (TT-TG) distance dynamics in patients with patellofemoral pain (PFP) and pain free individuals by using full weight bearing kinematic magnetic resonance imaging (MRI) And correlation with patellar instability. Materials and methods. 51 female individuals with PFP and 26 pain free female individuals participated in the study. The kinematic MRI was performed with 1,5 T MRI unit and full-weight bearing. TT-TG distance, bissect offset (BSO) and patellar tilt angle (PTA) were measured in steps of 10° between 50° of flexion to full extension. Results. The TT–TG was higher in PFP patients compared to volunteers’ from 40° to full extension. This difference was statistically significant (p<0.01). PFP patients demonstrated statistically significantly greater TT-TG distance increase from 30° to full extension. BSO and PTA were moderately correlated to TT-TG from 20° of flexion to full extension. Conclusion. TT-TG distance is dynamic and increases significantly during extension in patients with PFP and pain free individuals, depending on knee flexion angle. It shows different pattern of dynamics in PFP group. TT-TG distance is associated with patellar instability (BSO and PTA) at low degrees of flexion.

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