Evaluation of plantar pressure distributions in patients with anterior cruciate ligament deficiency: preoperative and postoperative changes
Engin Cetin, Mehmet Ali Deveci, Murat Songur, Hamza Ozer, Sacit Turanli
article (Uluslararası, Hakemli) | Yazar(lar): Engin Cetin, Mehmet Ali Deveci, Murat Songur, Hamza Ozer, Sacit Turanli | Yıl: 2017 | Dergi/Kurum: TURKISH JOURNAL OF MEDICAL SCIENCES | İndeks: WOS.SCI | DOI: 10.3906/sag-1601-146 | Anahtar Kelimeler: Anterior cruciate ligament, reconstruction, functional evaluation, pedob
Background/aim: Anterior cruciate ligament (ACL) deficiency results in several kinematic changes in the lower extremities. The aim of this study is to define the plantar pressure parameters in ACL-deficient patients and to show the effect of ACL reconstruction on dynamic plantar pressure.
Materials and methods: Forty patients with unilateral ACL rupture and 40 healthy controls were included in this study. Dynamic plantar pressures of both groups were recorded by the EMED SF-2 system during level walking. Thirteen of the patients who had ACL reconstructions with hamstring autografts (HS group) were reevaluated at an average of 14.5 months following the ACL reconstructions.
Results: ACL-deficient patients had significantly lower hindfoot (P = 0.007) but higher midfoot pressure values (P = 0.03) on their ipsilateral foot compared to control group subjects. Ipsilateral hindfoot pressures were also found to be significantly lower than those of the contralateral foot (P = 0.001). Hindfoot pressure values of the HS group were increased in postoperative measurements (P = 0.01).
Conclusion: ACL-deficient patients have altered plantar pressure distributions and ACL reconstructions restore these changes to normal. Pedobarography might be used as a practical method for dynamic functional assessment of ACL-deficient patients.