Adaptive stereotypes of feet support responses in patients with emur injury consequences under combined osteosynthesis

Purpose. To develop the criteria of evaluating feet support responses by podography data in patients with the consequences of femur injuries treated using combined transosseous and locked intramedullary osteosynthesis. Materials and methods. The evaluation of feet support responses by podography technique was performed in 15 patients at the age of 19-64 (38.4±2.8) years with femur injury consequences using the technologies of consecutive and combined osteosynthesis. Results. At the follow-up of six and more months (eight subjects) all the patients walked without additional supports. The proper limb axis was maintained in all the cases with femur consolidation achieved. There were no clinical and X-ray signs of metalwork instability. The results of treatment were evaluated by Luboshitz-Mattis-Schwartzberg scale. The result of treatment was considered as good in six patients, and as satisfactory - in two patients. There were no unsatisfactory results. Conclusion. Podography values in patients with femur injury consequences have no specific diagnostic significance, and they manifest themselves in the locomotor stereotypes of feet support responses in varying degrees. The decompensation degree of the locomotor stereotype of feet support responses is an additional quantitative measure in the complex evaluation of treatment result at the stage of subsequent rehabilitation. The number of the compensatory elements registered by podograms underlie in the evaluation of locomotor stereotype severity. A result is considered to be excellent when Degree 0-I revealed, it is considered to be good for Degree II, satisfactory one - for Degree III, and unsatisfactory one - for Degree IV.