Email this article Modeling of a clinical instrumental system for the objective assessment of foot function in patients with post-traumatic ankle deformity and calcaneal malunion
- Authors: Orletskiy А.1, Kosov I.2, Shkuro K.2, Timchenko D.2, Vasilyev D.2, Gordeev N.2, Jarikov V.2
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Affiliations:
- Federal State Budgetary Institution of the Ministry of Health of the Russian Federation. National Medical Research Center of Traumatology and Orthopedics named after N.N. Priorov.
- FSBI «NMIC of Traumatology and Orthopedics named N. N. Priorov» Ministry of health of the Russian Federation
- Section: Original study articles
- Submitted: 27.11.2024
- Accepted: 03.09.2025
- Published: 14.09.2025
- URL: https://journals.eco-vector.com/0869-8678/article/view/642295
- DOI: https://doi.org/10.17816/vto642295
- ID: 642295
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Abstract
BACKGROUND: The change foot gait after surgical treatment on the ankle and foot is associated with the development of biomechanically caused complications. The results of surgical treatment depend on the correct assessment of the anatomical and functional features of the foot. Clinical analysis foot gait was performed using “F-Scan Mobile”.
AIM: To evaluate the biomechanical parameters of walking in patients with ankle and foot deformities, before and after surgical treatment.
MATERIALS AND METHODS: In the department № 4 in the Center Traumatology and Orthopedics (Moscow), between 2022–2024, a single-center prospective, non-randomized cohort controlled experimental quantitative study was conducted. 102 patients with ankle arthrosis and post-traumatic deformity of the calcaneus were surgically treated, 68 of them men and 34 women, the average age was 39±17,61 years. The patients underwent a biomechanical assessment of the functional parameters of the foot.
RESULTS: The average VASH score before surgery was 6,5±3,63, after surgery 1,6±0,81, there was a significant decrease in pain syndrome (р <0,05). The average hind foot AOFAS scale before surgery was 38±23,31, after surgery 88±10,55, there was also an improvement (р <0,05). Subjective assessment of treatment results: 56 patients (54.9%) excellent result, 30 patients (29.4%) good, 14 patients (13.7%) satisfactory, 2 patients (1.9%) rated the result of treatment as unsatisfactory.
CONCLUSION: The developed clinical model of biomechanical assessment of walking parameters allows us to obtain objective data on the structure of the step cycle in unilateral foot injury and assess the adequacy of adaptive motor skill in patients before/after surgical treatment and in the long-term observation period. The patients were satisfied with the result of the treatment, which was confirmed not only clinically, but also by biomechanical research.
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About the authors
Аnatoliy Orletskiy
Federal State Budgetary Institution of the Ministry of Health of the Russian Federation.National Medical Research Center of Traumatology and Orthopedics named after N.N. Priorov.
Email: nova495@mail.ru
ORCID iD: 0009-0000-1461-4802
MD, Dr Sci. (Med), Professor, Honored Doctor of the Russian Federation, Head of the Department of Traumatology and Orthopedics.
Russian Federation, 10 Priorova Str., 127299, Moscow, RussiaIgor Kosov
FSBI «NMIC of Traumatology and Orthopedics named N. N. Priorov» Ministry of health of the Russian Federation
Email: kozeti@mail.ru
ORCID iD: 0009-0008-7053-7213
SPIN-code: 3260-8950
MD, Dr Sci. (Med), Professor, Leading Researcher.
Russian Federation, 10 Priorova Str., 127299, Moscow, RussiaKonstantin Shkuro
FSBI «NMIC of Traumatology and Orthopedics named N. N. Priorov» Ministry of health of the Russian Federation
Author for correspondence.
Email: shkuro_kostya@mail.ru
ORCID iD: 0009-0004-8259-7994
SPIN-code: 3442-1306
assistant of the Department Traumatology and Orthopedics.
Russian Federation, 10 Priorova Str., 127299, Moscow, RussiaDmitriy Timchenko
FSBI «NMIC of Traumatology and Orthopedics named N. N. Priorov» Ministry of health of the Russian Federation
Email: d.o.timchenko@mail.ru
ORCID iD: 0009-0009-6859-2528
SPIN-code: 6626-2823
MD, cand. Sci. (Med), doctor of the highest category.
Russian Federation, 10 Priorova Str., 127299, Moscow, RussiaDmitriy Vasilyev
FSBI «NMIC of Traumatology and Orthopedics named N. N. Priorov» Ministry of health of the Russian Federation
Email: A-tendo@mail.ru
ORCID iD: 0000-0002-6573-3243
SPIN-code: 8980-0432
MD, cand. Sci. (Med), Leading Researcher.
Russian Federation, 10 Priorova Str., 127299, Moscow, RussiaNicolay Gordeev
FSBI «NMIC of Traumatology and Orthopedics named N. N. Priorov» Ministry of health of the Russian Federation
Email: nova495@mail.ru
ORCID iD: 0009-0002-4251-8070
SPIN-code: 5687-9521
assistant of the Department Traumatology and Orthopedics.
Russian Federation, 10 Priorova Str., 127299, Moscow, RussiaVladislav Jarikov
FSBI «NMIC of Traumatology and Orthopedics named N. N. Priorov» Ministry of health of the Russian Federation
Email: zharikov-V.A.5@yandex.ru
ORCID iD: 0009-0000-9310-1318
SPIN-code: 5347-6881
assistant of the Department Traumatology and Orthopedics.
Russian Federation, 10 Priorova Str., 127299, Moscow, RussiaReferences
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).