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Partial weight bearing of the tibia

Ganse, B. and Yang, P. and Gardlo, J. and Gauger, P. and Kriechbaumer, Andreas and Pape, H.C. and Koy, T. and Müller, L.P. and Rittweger, J. (2016) Partial weight bearing of the tibia. Injury, 47 (8), pp. 1777-1782. Elsevier. DOI: 10.1016/j.injury.2016.06.003 ISSN 0020-1383

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Abstract

INTRODUCTION: Partial weight bearing is part of treatment schemes in orthopedic surgery and traumatology. The aim of the present study was to explore to what degree ground reaction forces during partial weight bearing of the lower leg are related to given instructions and to tibia deformation. MATERIALS AND METHODS: Tibia deformation (torsion, medio-lateral and anterio-posterior bending) was measured for rear foot and forefoot loading, 10kg, 20kg and half body weight instructions compared to full loading in five healthy male subjects using the "Optical Segment Tracking" approach, a motion-capturing based method that uses monocortically fixed bone screws. RESULTS: 1. Ground reaction force was a good indicator of tibia deformation. 2. Participants significantly under-loaded during half-body weight instructions (P<0.001) while they overloaded when loading the forefoot only. 3. Partial-loading instructions led to a highly significant and systematic reduction in peak ground reaction force (GRFpk) in all three types of tibia deformation with substantial variation between measurements. 4. Forefoot usage was associated with significant, albeit moderate increases in GRFpk (P=0.0031), in AP-bending (P=0.0027) and in torsion (P<0.001), compared to rear foot loading. DISCUSSION: These findings result in the following clinical "lessons learned": 1. GRF is a good reflection of loading-induced deformation of the tibia. 2. GRFs are hard to control by subjects/patients. 3. The expectation that forefoot-loading results in larger tibia deformation could not be confirmed in our study. 4. When aiming at a reduction in tibia deformation, rear-foot loading is more preferable than forefoot loading.

Item URL in elib:https://elib.dlr.de/107412/
Document Type:Article
Title:Partial weight bearing of the tibia
Authors:
AuthorsInstitution or Email of AuthorsAuthors ORCID iD
Ganse, B.bergita.ganse (at) dlr.deUNSPECIFIED
Yang, P.Pengfei.Yang (at) dlr.deUNSPECIFIED
Gardlo, J.Physiotherapy Center am Heumarkt, Cologne, GermanyUNSPECIFIED
Gauger, P.German Aerospace Center (DLR), Institute of Aerospace Medicine, Space Physiology, Cologne, GermanyUNSPECIFIED
Kriechbaumer, AndreasAndreas.Kriechbaumer (at) dlr.dehttps://orcid.org/0000-0001-7481-6000
Pape, H.C.Department of Orthopedic Trauma Surgery, University Hospital RWTH AachenUNSPECIFIED
Koy, T.timmo.koy (at) uk-koeln.deUNSPECIFIED
Müller, L.P.Department of Orthopedic and Trauma Surgery, University of Cologne, Cologne, lars.mueller (at) uk-koeln.deUNSPECIFIED
Rittweger, J.Institute of Aerospace Medicine, Deutsches Zentrum für Luft- und Raumfahrt, DLR e.V., Cologne, Germany and Medical Faculty, University of Cologne, Cologne, Germany; joern.rittweger (at) dlr.deUNSPECIFIED
Date:August 2016
Journal or Publication Title:Injury
Refereed publication:Yes
Open Access:No
Gold Open Access:No
In SCOPUS:Yes
In ISI Web of Science:Yes
Volume:47
DOI :10.1016/j.injury.2016.06.003
Page Range:pp. 1777-1782
Editors:
EditorsEmail
Gianniudis, P. V.Leeds, UK
Publisher:Elsevier
ISSN:0020-1383
Status:Published
Keywords:Fracture; Lower leg; Motion capturing; Orthopaedic surgery; Partial weight bearing; Physiotherapy; Tibia; Traumatology; Unloading
HGF - Research field:Aeronautics, Space and Transport
HGF - Program:Space
HGF - Program Themes:Research under Space Conditions
DLR - Research area:Raumfahrt
DLR - Program:R FR - Forschung unter Weltraumbedingungen
DLR - Research theme (Project):R - Vorhaben Integrative Studien (old)
Location: Köln-Porz
Institutes and Institutions:Institute of Aerospace Medicine > Space Physiology
Deposited By: Becker, Christine
Deposited On:09 Nov 2016 10:46
Last Modified:01 Dec 2018 19:52

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