Gait Differences After Ankle Fracture Surgery

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Article Summary:

Title:
Comparison of gait parameters between post-surgery ankle fracture patients and healthy individuals: a systematic review and meta-review

Journal:
BioMedical Engineering OnLine, Volume 24, Article 128 (2025)

Background

• Surgical treatment of ankle fractures affects motor function recovery.
• Differences in functional performance between postoperative ankle fracture patients and healthy individuals exist but have not been quantitatively reviewed before.
• Aim: To systematically summarize differences in gait analysis outcomes, muscle strength, and plantar pressure.

Methodology

• Comprehensive literature search in multiple databases (PubMed, EMBASE, Cochrane Library, Web of Science) up to February 2024.
• Keywords: Ankle Fractures, Gait Analysis, Muscle Strength, Plantar Pressure, Rehabilitation.
• Included studies: Cross-sectional and non-randomized observational studies comparing gait parameters, muscle strength, and plantar pressure in postoperative ankle fracture patients vs. healthy controls.
• Outcome measures:
  • Gait parameters: walking speed, peak dorsiflexion and plantarflexion angular velocities, step length, single support time, cadence.
  • Muscle strength: peak torque (dorsiflexion, plantarflexion), thigh muscle CSA.
  • Plantar pressure: mean/peak plantar pressure, contact time.
• Risk of bias assessment used: AHRQ and MINORS tools.
• Statistical analysis included heterogeneity checks (Cochrane’s Q, I2), subgroup analyses, publication bias tests (funnel plots, Egger’s, Begg’s tests), and sensitivity analysis (leave-one-out method).

Results (Incomplete in your message)

• 12 studies included, covering 219 postoperative ankle fracture patients and 192 healthy controls.
• Postoperative patients demonstrated significant impairments in several gait parameters compared to healthy controls.
• Walking speed was notably slower in postoperative patients (WMD = -0.13, 95% CI [-0.45, -0.16], P = [missing value]).

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