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Open AccessArticle

Load-Bearing Detection with Insole-Force Sensors Provides New Treatment Insights in Fragility Fractures of the Pelvis

Department of General, Trauma and Reconstructive Surgery, University Hospital, Ludwig-Maximilians-University Munich, 81377 Munich, Germany
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
J. Clin. Med. 2020, 9(8), 2551; https://doi.org/10.3390/jcm9082551
Received: 30 June 2020 / Revised: 1 August 2020 / Accepted: 3 August 2020 / Published: 6 August 2020
Background: Due to an aging society, more and more surgeons are confronted with fragility fractures of the pelvis (FFPs). The aim of treatment of such patients should be the quickest possible mobilization with full weight-bearing. Up to now however, there are no data on loading of the lower extremities in patients suffering FFPs. We hypothesized to find differences in loading of the lower limbs. Methods: 22 patients with a mean age of 84.1 years were included. During gait analysis with insole-force sensors, loading on the lower extremities was recorded during early mobilization after index fracture. Results: Especially the average peak force showed differences in loading, as the affected limb was loaded significantly less {59.78% (SD ± 16.15%) of the bodyweight vs. 73.22% (SD ± 14.84%) (p = <0.001, effect size r = 0.58)}. Furthermore, differences in loading in between the fracture patterns of FFPs were observed. Conclusion: This study shows that it is possible to reliably detect the extremity load, with the help of an insole device, in patients presenting with fragility fractures of the pelvis. There is great potential to improve the choice and time of treatment with insole-force sensors in FFPs in future. View Full-Text
Keywords: pelvic fracture; fragility fractures; pelvic ring; pelvic ring fracture; insole-force sensors; weight-bearing; geriatric fracture pelvic fracture; fragility fractures; pelvic ring; pelvic ring fracture; insole-force sensors; weight-bearing; geriatric fracture
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MDPI and ACS Style

Pfeufer, D.; Becker, C.A.; Faust, L.; Keppler, A.M.; Stagg, M.; Kammerlander, C.; Böcker, W.; Neuerburg, C. Load-Bearing Detection with Insole-Force Sensors Provides New Treatment Insights in Fragility Fractures of the Pelvis. J. Clin. Med. 2020, 9, 2551. https://doi.org/10.3390/jcm9082551

AMA Style

Pfeufer D, Becker CA, Faust L, Keppler AM, Stagg M, Kammerlander C, Böcker W, Neuerburg C. Load-Bearing Detection with Insole-Force Sensors Provides New Treatment Insights in Fragility Fractures of the Pelvis. Journal of Clinical Medicine. 2020; 9(8):2551. https://doi.org/10.3390/jcm9082551

Chicago/Turabian Style

Pfeufer, Daniel; Becker, Christopher A.; Faust, Leon; Keppler, Alexander M.; Stagg, Marissa; Kammerlander, Christian; Böcker, Wolfgang; Neuerburg, Carl. 2020. "Load-Bearing Detection with Insole-Force Sensors Provides New Treatment Insights in Fragility Fractures of the Pelvis" J. Clin. Med. 9, no. 8: 2551. https://doi.org/10.3390/jcm9082551

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