Pedobarography Analysis of Foot Pressure Changes in Varus Total Knee Replacement

Introduction: Issues that begin with feet can cause persistent pain in the knees, hips, and back. Misalignments of the foot bones and different constructions in the foot can adjust how a person can walk and how the lower limb bears weight as a person moves. To evaluate the influence of total knee ar...

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Main Authors: Harisudhan Raviraja, Lokesh K Sekaran, Ganesan G Ram, Krishna K Jayaraman, Vijayaraja Elangovan, Dheepan Kumar
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2024-06-01
Series:Journal of Orthopedics and Joint Surgery
Subjects:
Online Access:https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1155
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author Harisudhan Raviraja
Lokesh K Sekaran
Ganesan G Ram
Krishna K Jayaraman
Vijayaraja Elangovan
Dheepan Kumar
author_facet Harisudhan Raviraja
Lokesh K Sekaran
Ganesan G Ram
Krishna K Jayaraman
Vijayaraja Elangovan
Dheepan Kumar
author_sort Harisudhan Raviraja
collection DOAJ
description Introduction: Issues that begin with feet can cause persistent pain in the knees, hips, and back. Misalignments of the foot bones and different constructions in the foot can adjust how a person can walk and how the lower limb bears weight as a person moves. To evaluate the influence of total knee arthroplasty on foot pressure changes in varus osteoarthritic knee using pedobarography. Methods: It is a prospective study done at Velammal Hospital, Velammal Medical College and Research Institute, Madurai, Tamil Nadu, India, among patients with primary osteoarthritis with varus deformity undergoing total knee replacement (TKR) from April 2021 to 2023. The inclusion criteria are patients with primary osteoarthritis with varus deformity undergoing TKR. Only patients with grade II varus (10–20°) deformities are included. Patients who satisfied the inclusion criteria and were willing to participate in the study filled out the informed consent form, and preoperative (pre-op) and postoperative (post-op) pedobarography was done and analyzed. Results: Preoperatively, the high-pressure changes were seen in the lateral metatarsal, lateral midfoot, and lateral heel. Postoperatively, there was a significant shift in pressure changes toward medial foot zones, including the hallux, medial metatarsal, central metatarsals, and medial heel. Conclusion: Posttotal knee replacement, the distribution of foot pressure changes toward the normal foot pressure distribution.
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issn 2582-7863
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spelling doaj-art-cc58c3289ac143cebec2e0855560554e2025-02-07T11:18:35ZengJaypee Brothers Medical PublisherJournal of Orthopedics and Joint Surgery2582-78632024-06-016211912410.5005/jojs-10079-11557Pedobarography Analysis of Foot Pressure Changes in Varus Total Knee ReplacementHarisudhan Raviraja0https://orcid.org/0009-0005-7858-2180Lokesh K Sekaran1https://orcid.org/0009-0008-4040-6685Ganesan G Ram2https://orcid.org/0000-0002-2877-293XKrishna K Jayaraman3https://orcid.org/0009-0007-7071-6257Vijayaraja Elangovan4https://orcid.org/0000-0002-1854-6496Dheepan Kumar5https://orcid.org/0009-0005-9931-621XHarisudhan Raviraja, Department of Orthopaedics, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, India, Phone: +91 9842991161Department of Orthopaedics, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, IndiaDepartment of Orthopaedics, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, IndiaDepartment of Orthopaedics, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, IndiaDepartment of Orthopaedics, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, IndiaDepartment of Orthopaedics, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, IndiaIntroduction: Issues that begin with feet can cause persistent pain in the knees, hips, and back. Misalignments of the foot bones and different constructions in the foot can adjust how a person can walk and how the lower limb bears weight as a person moves. To evaluate the influence of total knee arthroplasty on foot pressure changes in varus osteoarthritic knee using pedobarography. Methods: It is a prospective study done at Velammal Hospital, Velammal Medical College and Research Institute, Madurai, Tamil Nadu, India, among patients with primary osteoarthritis with varus deformity undergoing total knee replacement (TKR) from April 2021 to 2023. The inclusion criteria are patients with primary osteoarthritis with varus deformity undergoing TKR. Only patients with grade II varus (10–20°) deformities are included. Patients who satisfied the inclusion criteria and were willing to participate in the study filled out the informed consent form, and preoperative (pre-op) and postoperative (post-op) pedobarography was done and analyzed. Results: Preoperatively, the high-pressure changes were seen in the lateral metatarsal, lateral midfoot, and lateral heel. Postoperatively, there was a significant shift in pressure changes toward medial foot zones, including the hallux, medial metatarsal, central metatarsals, and medial heel. Conclusion: Posttotal knee replacement, the distribution of foot pressure changes toward the normal foot pressure distribution.https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1155arthroplastyfoot zonesheel pressureosteoarthritispedobarography.
spellingShingle Harisudhan Raviraja
Lokesh K Sekaran
Ganesan G Ram
Krishna K Jayaraman
Vijayaraja Elangovan
Dheepan Kumar
Pedobarography Analysis of Foot Pressure Changes in Varus Total Knee Replacement
Journal of Orthopedics and Joint Surgery
arthroplasty
foot zones
heel pressure
osteoarthritis
pedobarography.
title Pedobarography Analysis of Foot Pressure Changes in Varus Total Knee Replacement
title_full Pedobarography Analysis of Foot Pressure Changes in Varus Total Knee Replacement
title_fullStr Pedobarography Analysis of Foot Pressure Changes in Varus Total Knee Replacement
title_full_unstemmed Pedobarography Analysis of Foot Pressure Changes in Varus Total Knee Replacement
title_short Pedobarography Analysis of Foot Pressure Changes in Varus Total Knee Replacement
title_sort pedobarography analysis of foot pressure changes in varus total knee replacement
topic arthroplasty
foot zones
heel pressure
osteoarthritis
pedobarography.
url https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1155
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AT ganesangram pedobarographyanalysisoffootpressurechangesinvarustotalkneereplacement
AT krishnakjayaraman pedobarographyanalysisoffootpressurechangesinvarustotalkneereplacement
AT vijayarajaelangovan pedobarographyanalysisoffootpressurechangesinvarustotalkneereplacement
AT dheepankumar pedobarographyanalysisoffootpressurechangesinvarustotalkneereplacement