Injury - International Journal of the Care of the Injured

| 2016

A novel tool for continuous fracture aftercare – Clinical feasibility and first results of a new telemetric gait analysis insole

Benedikt J. Braun, Eva Bushuven, Rebecca Hell, Hils T. Veith, Jan Buschbaum, Joerg H. Holstein, Tim Pohlemann

Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital


Gait analysis, Continuous fracture monitoring, Aftercare performance, Ankle fracture


Weight bearing after lower extremity fractures still remains a highly controversial issue. Even in ankle fractures, the most common lower extremity injury no standard aftercare protocol has been established. Average non weight bearing times range from 0 to 7 weeks, with standardised, radiological healing controls at fixed time intervals. Recent literature calls for patient-adapted aftercare protocols based on individual fracture and load scenarios. We show the clinical feasibility and first results of a new, insole embedded gait analysis tool for continuous monitoring of gait, load and activity. Ten patients were monitored with a new, independent gait analysis insole for up to 3 months postoperatively. Strict 20 kg partial weight bearing was ordered for 6 weeks. Overall activity, load spectrum, ground reaction forces, clinical scoring and general health data were recorded and correlated. Statistical analysis with power analysis, t-test and Spearman correlation was performed. Only one patient completely adhered to the set weight bearing limit. Average time in minutes over the limit was 374 min. Based on the parameters load, activity, gait time over 20 kg weight bearing and maximum ground reaction force high and low performers were defined after 3 weeks. Significant difference in time to painless full weight bearing between high and low performers was shown. Correlation analysis revealed a significant correlation between weight bearing and clinical scoring as well as pain (American Orthopaedic Foot and Ankle Society (AOFAS) Score rs = 0.74; Olerud–Molander Score rs = 0.93; VAS pain rs = −0.95). Early, continuous gait analysis is able to define aftercare performers with significant differences in time to full painless weight bearing where clinical or radiographic controls could not. Patient compliance to standardised weight bearing limits and protocols is low. Highly individual rehabilitation patterns were seen in all patients. Aftercare protocols should be adjusted to real-time patient conditions, rather than fixed intervals and limits. With a real-time measuring device high performers could be identified and influenced towards optimal healing conditions early, while low performers are recognised and missing healing influences could be corrected according to patient condition.

Moticon's Summary

Contact Us
Book a free online demo or use the contact form to get in touch
Subscribe to our newsletter for regular updates

Select your desired system

The cutting edge test based outcome assessment system for health professionals and trainers

The most versatile toolkit for free data acquisition and comprehensive analytics in research

Have a general inquiry?

Write us a message for general questions about products and solutions or if you’d like to discuss other topics.

The form was sent successfully.

You will be contacted shortly.


Stay one step ahead!

Subscribe to our newsletter for the latest information on case studies, webinars, product updates and company news

Get support

Check our FAQ database for answers to frequently asked questions

Describe your issue in as much detail as possible. Include screenshots or files if applicable.

Need help?
Want a live demo?
Interested in prices?
Want to say hello?
Always just a call away
+49 89 2000 301 60