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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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Tags: ankle fracture surgery outcomescross-sectional studies on gaitgait analysis post ankle fracturegait parameters comparison healthy individualsmuscle strength assessment after surgerypeak torque measurement in ankle recoveryplantar pressure measurement in rehabilitationpostoperative functional performance evaluationpostoperative recovery gait differencesrehabilitation strategies for ankle fracturessystematic review of gait performancewalking speed analysis post-surgery