{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T17:51:22Z","timestamp":1793296282047,"version":"4.5.0"},"reference-count":43,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T00:00:00Z","timestamp":1757462400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Gait &amp; Posture"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.gaitpost.2025.109976","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T06:47:45Z","timestamp":1757573265000},"page":"109976","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"special_numbering":"C","title":["3D gait analysis in patients treated for high-grade tibial plateau fractures (Schatzker VI) with closed reduction and external fixation with circular frames"],"prefix":"10.1016","volume":"123","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6344-7411","authenticated-orcid":false,"given":"Apostolos Z.","family":"Skouras","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios","family":"Papagiannis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Zafeiris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fotini","family":"Soucacos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athanasios","family":"Triantafyllou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charilaos","family":"Tsolakis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitrios","family":"Koulalis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panagiotis","family":"Koulouvaris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.gaitpost.2025.109976_bib1","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1186\/s12891-018-2209-1","article-title":"Duration of incapacity of work after tibial plateau fracture is affected by work intensity","volume":"19","author":"Kraus","year":"2018","journal-title":"BMC Musculoskelet. Disord."},{"key":"10.1016\/j.gaitpost.2025.109976_bib2","doi-asserted-by":"crossref","DOI":"10.1016\/j.otsr.2024.104072","article-title":"High-energy tibial plateau fracture","volume":"111","author":"Martz","year":"2025","journal-title":"Orthop. Trauma. Surg. Res"},{"key":"10.1016\/j.gaitpost.2025.109976_bib3","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1186\/s12891-018-2170-z","article-title":"Why tibial plateau fractures are overlooked","volume":"19","author":"Kiel","year":"2018","journal-title":"BMC Musculoskelet. Disord."},{"key":"10.1016\/j.gaitpost.2025.109976_bib4","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.RVW.17.00050","article-title":"Bicondylar tibial plateau fractures: a critical analysis review","volume":"6","author":"Lee","year":"2018","journal-title":"JBJS Rev."},{"key":"10.1016\/j.gaitpost.2025.109976_bib5","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1302\/2058-5241.1.000031","article-title":"Treatment strategy for tibial plateau fractures: an update","volume":"1","author":"Prat-Fabregat","year":"2016","journal-title":"EFORT Open Rev."},{"key":"10.1016\/j.gaitpost.2025.109976_bib6","doi-asserted-by":"crossref","first-page":"444","DOI":"10.5152\/j.aott.2021.20350","article-title":"External fixation versus open reduction and internal fixation in the treatment of complex tibial plateau fractures: a systematic review and meta-analysis","volume":"55","author":"Tripathy","year":"2021","journal-title":"Acta Orthop. Trauma. Turc"},{"key":"10.1016\/j.gaitpost.2025.109976_bib7","doi-asserted-by":"crossref","first-page":"2613","DOI":"10.2106\/JBJS.E.01416","article-title":"Open reduction and internal fixation compared with circular fixator application for bicondylar tibial plateau fractures. Results of a multicenter, prospective, randomized clinical trial","volume":"88","author":"Canadian orthopaedic trauma society","year":"2006","journal-title":"J. Bone Jt. Surg. Am."},{"key":"10.1016\/j.gaitpost.2025.109976_bib8","article-title":"Ilizarov fixation method of tibia plateau fractures: a prospective observational study","volume":"12","author":"Baloch","year":"2020","journal-title":"Cureus"},{"key":"10.1016\/j.gaitpost.2025.109976_bib9","doi-asserted-by":"crossref","DOI":"10.1016\/j.injury.2023.111131","article-title":"Circular frame fixation of complex tibial plateau fractures in the elderly: functional and radiological outcomes for schatzker v and VI type fractures","volume":"54","author":"Robinson","year":"2023","journal-title":"Injury"},{"key":"10.1016\/j.gaitpost.2025.109976_bib10","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.gaitpost.2020.10.005","article-title":"Postoperative lower limb joint kinematics following tibial plateau fracture: a 2-year longitudinal study","volume":"83","author":"Bennett","year":"2021","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.109976_bib11","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.gaitpost.2020.03.008","article-title":"Longitudinal changes in lower limb joint loading up to two years following tibial plateau fracture","volume":"78","author":"Millar","year":"2020","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.109976_bib12","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.gaitpost.2024.04.014","article-title":"Current practices in clinical gait analysis in Europe: a comprehensive survey-based study from the european society for movement analysis in adults and children (ESMAC) standard initiative","volume":"111","author":"Armand","year":"2024","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.109976_bib13","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.gaitpost.2024.11.018","article-title":"Recommendations of the GAMMA association for the standardization of clinical movement analysis laboratories","volume":"117","author":"Kranzl","year":"2025","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.109976_bib14","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1016\/j.csm.2022.07.001","article-title":"Using motion analysis in the evaluation, treatment & rehabilitation of pediatric & adolescent knee injuries: a review of the literature","volume":"41","author":"Rhodes","year":"2022","journal-title":"Clin. Sports Med."},{"key":"10.1016\/j.gaitpost.2025.109976_bib15","doi-asserted-by":"crossref","first-page":"1657","DOI":"10.1016\/j.injury.2017.04.045","article-title":"Asymmetry in gait pattern following bicondylar tibial plateau fractures-A prospective one-year cohort study","volume":"48","author":"Elsoe","year":"2017","journal-title":"Injury"},{"key":"10.1016\/j.gaitpost.2025.109976_bib16","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1016\/j.jos.2019.03.015","article-title":"Walking impairments after severe tibia plateau fractures. A gait pattern analysis","volume":"25","author":"Iliopoulos","year":"2020","journal-title":"J. Orthop. Sci."},{"key":"10.1016\/j.gaitpost.2025.109976_bib17","doi-asserted-by":"crossref","first-page":"85","DOI":"10.5005\/jp-journals-10080-1432","article-title":"Patient-reported and functional outcomes of bicondylar tibial plateau fractures managed by internal screw fixation in combination with an ilizarov fixator: a case series of 22 patients with long-term follow-up","volume":"14","author":"Larsen","year":"2019","journal-title":"Strateg. Trauma Limb Reconstr."},{"key":"10.1016\/j.gaitpost.2025.109976_bib18","doi-asserted-by":"crossref","first-page":"1411","DOI":"10.1007\/s00264-015-2691-0","article-title":"Gait characteristics before hardware removal in patients operated upon for tibial plateau fractures","volume":"39","author":"Deleanu","year":"2015","journal-title":"Int Orthop."},{"key":"10.1016\/j.gaitpost.2025.109976_bib19","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1186\/s12891-021-04577-y","article-title":"Gait biomechanics in patients with intra-articular tibial plateau fractures - gait analysis at three months compared with age- and gender-matched healthy subjects","volume":"22","author":"F\u00e4ndriks","year":"2021","journal-title":"BMC Musculoskelet. Disord."},{"key":"10.1016\/j.gaitpost.2025.109976_bib20","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1186\/s12891-024-07910-3","article-title":"Persistent deficits in knee joint kinematics and kinetics during gait following tibial plateau fractures - a longitudinal study","volume":"25","author":"F\u00e4ndriks","year":"2024","journal-title":"BMC Musculoskelet. Disord."},{"key":"10.1016\/j.gaitpost.2025.109976_bib21","article-title":"Impact of quadriceps and hip abductor strengthening on knee joint biomechanics during gait after schatzker type III tibial plateau fracture: a case study","volume":"17","author":"Hakukawa","year":"2025","journal-title":"Cureus"},{"key":"10.1016\/j.gaitpost.2025.109976_bib22","doi-asserted-by":"crossref","DOI":"10.1016\/j.otsr.2023.103569","article-title":"Gait recovery is not associated with meniscus and\/or knee ligament injuries following lateral tibial plateau fractures. A prospective 3-year cohort study of 56 patients","volume":"109","author":"Larsen","year":"2023","journal-title":"Orthop. Trauma. Surg. Res."},{"key":"10.1016\/j.gaitpost.2025.109976_bib23","doi-asserted-by":"crossref","first-page":"1398","DOI":"10.1002\/jor.22905","article-title":"Peak loading during walking is not associated with fracture migration following tibial plateau fracture: a preliminary case series","volume":"33","author":"Thewlis","year":"2015","journal-title":"J. Orthop. Res."},{"key":"10.1016\/j.gaitpost.2025.109976_bib24","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.clinbiomech.2019.04.009","article-title":"Correlation between preoperative imaging parameters and postoperative basic kinematics-based functional outcome in patients with tibial plateau fractures","volume":"65","author":"Warschawski","year":"2019","journal-title":"Clin. Biomech."},{"key":"10.1016\/j.gaitpost.2025.109976_bib25","doi-asserted-by":"crossref","first-page":"1541","DOI":"10.1007\/s00402-015-2325-4","article-title":"Gait characteristics and quality of life perception of patients following tibial plateau fracture","volume":"135","author":"Warschawski","year":"2015","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"10.1016\/j.gaitpost.2025.109976_bib26","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.jor.2018.01.048","article-title":"Gait analysis methodology for the measurement of biomechanical parameters in total knee arthroplasties. A literature review","volume":"15","author":"Papagiannis","year":"2018","journal-title":"J. Orthop."},{"key":"10.1016\/j.gaitpost.2025.109976_bib27","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/j.gaitpost.2009.05.020","article-title":"The gait profile score and movement analysis profile","volume":"30","author":"Baker","year":"2009","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.109976_bib28","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1016\/j.gaitpost.2008.05.001","article-title":"The gait deviation index: a new comprehensive index of gait pathology","volume":"28","author":"Schwartz","year":"2008","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.109976_bib29","doi-asserted-by":"crossref","DOI":"10.1016\/j.jbiomech.2025.112618","article-title":"Biomechanical contributors to loading rates during gait following anterior cruciate ligament reconstruction","volume":"183","author":"Dennis","year":"2025","journal-title":"J. Biomech."},{"key":"10.1016\/j.gaitpost.2025.109976_bib30","doi-asserted-by":"crossref","DOI":"10.1016\/j.clinbiomech.2024.106180","article-title":"The relationship between knee flexion excursion and mechanical stress during gait in medial knee osteoarthritis","volume":"112","author":"Anan","year":"2024","journal-title":"Clin. Biomech."},{"key":"10.1016\/j.gaitpost.2025.109976_bib31","doi-asserted-by":"crossref","first-page":"1162","DOI":"10.1111\/j.1524-4733.2008.00356.x","article-title":"Validity of the EuroQoL (EQ-5D) instrument in a Greek general population","volume":"11","author":"Kontodimopoulos","year":"2008","journal-title":"Value Health"},{"key":"10.1016\/j.gaitpost.2025.109976_bib32","doi-asserted-by":"crossref","first-page":"1477","DOI":"10.3109\/09638288.2014.972583","article-title":"Cross-cultural translation and validation of the Greek version of the knee injury and osteoarthritis outcome score (KOOS) in patients with total knee replacement","volume":"37","author":"Moutzouri","year":"2015","journal-title":"Disabil. Rehabil."},{"key":"10.1016\/j.gaitpost.2025.109976_bib33","doi-asserted-by":"crossref","DOI":"10.7717\/peerj.10387","article-title":"Comparing multiple comparisons: practical guidance for choosing the best multiple comparisons test","volume":"8","author":"Midway","year":"2020","journal-title":"PeerJ"},{"key":"10.1016\/j.gaitpost.2025.109976_bib34","doi-asserted-by":"crossref","first-page":"3378","DOI":"10.1007\/s00167-016-4234-7","article-title":"Deficits in functional performance and gait one year after total knee arthroplasty despite improved self-reported function","volume":"25","author":"Naili","year":"2017","journal-title":"Knee Surg. Sports Trauma. Arthrosc."},{"key":"10.1016\/j.gaitpost.2025.109976_bib35","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.gaitpost.2025.03.024","article-title":"Gait improvements in the early post-surgery rehabilitation phase in subjects receiving a total knee or hip arthroplasty: a prospective study","volume":"120","author":"Pollet","year":"2025","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.109976_bib36","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1002\/jor.25704","article-title":"Gait and strength assessment following surgical repair by intramedullary nailing of isolated tibial shaft fracture","volume":"42","author":"Canseco","year":"2024","journal-title":"J. Orthop. Res."},{"key":"10.1016\/j.gaitpost.2025.109976_bib37","doi-asserted-by":"crossref","first-page":"1833","DOI":"10.1016\/j.joca.2014.08.009","article-title":"Baseline knee adduction and flexion moments during walking are both associated with 5 year cartilage changes in patients with medial knee osteoarthritis","volume":"22","author":"Chehab","year":"2014","journal-title":"Osteoarthr. Cartil."},{"key":"10.1016\/j.gaitpost.2025.109976_bib38","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.gaitpost.2021.09.199","article-title":"Recovery of gait and function during the first six months after tibial shaft fractures","volume":"91","author":"Kr\u00f6ger","year":"2022","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.109976_bib39","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1016\/j.gaitpost.2021.06.012","article-title":"Time-integrated propulsive and braking impulses do not depend on walking speed","volume":"88","author":"Deffeyes","year":"2021","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.109976_bib40","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1016\/j.gaitpost.2011.02.022","article-title":"Low strength is related to diminished ground reaction forces and walking performance in older women","volume":"33","author":"LaRoche","year":"2011","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.109976_bib41","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.gaitpost.2005.04.012","article-title":"Effect of skin movement artifact on knee kinematics during gait and cutting motions measured in vivo","volume":"24","author":"Benoit","year":"2006","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.109976_bib42","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.gaitpost.2023.05.028","article-title":"Evaluation of lower limb and pelvic marker placement precision among different evaluators and its impact on gait kinematics computed with the conventional gait model","volume":"104","author":"Fonseca","year":"2023","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.109976_bib43","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.gaitpost.2024.06.007","article-title":"Position paper on how technology for human motion analysis and relevant clinical applications have evolved over the past decades: striking a balance between accuracy and convenience","volume":"113","author":"Bonato","year":"2024","journal-title":"Gait Posture"}],"container-title":["Gait &amp; Posture"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0966636225007039?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0966636225007039?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T10:11:30Z","timestamp":1772878290000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0966636225007039"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":43,"alternative-id":["S0966636225007039"],"URL":"https:\/\/doi.org\/10.1016\/j.gaitpost.2025.109976","relation":{},"ISSN":["0966-6362"],"issn-type":[{"value":"0966-6362","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"3D gait analysis in patients treated for high-grade tibial plateau fractures (Schatzker VI) with closed reduction and external fixation with circular frames","name":"articletitle","label":"Article Title"},{"value":"Gait & Posture","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.gaitpost.2025.109976","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Author(s). Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"109976"}}