{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T13:35:30Z","timestamp":1760708130119},"reference-count":9,"publisher":"Bentham Science Publishers Ltd.","issue":"1","license":[{"start":{"date-parts":[[2009,11,3]],"date-time":"2009-11-03T00:00:00Z","timestamp":1257206400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["openorthopaedicsjournal.com","benthamopen.com"],"crossmark-restriction":true},"short-container-title":["TOORTHJ"],"published-print":{"date-parts":[[2009,11,3]]},"abstract":"<jats:p>We present the case of a forty year old male who sustained a torn carotid during strenuous physical activity. This was followed by a right hemispheric stroke due to a clot associated with the carotid. Upon recovery, the patient\u2019s gait was characterized as hemiparetic with a stiff-knee pattern, a fixed flexion deformity of the toe flexors, and a hindfoot varus. Based on clinical exams and radiographs, the surgical treatment plan was established and consisted of correction of the forefoot deformities, possible hamstrings lengthening, and tendon transfer of the posterior tibial tendon to the dorsolateral foot. To aid in surgical planning, a three-dimensional gait analysis was conducted using a state-of-the-art motion capture system. Data from this analysis provided insight into the pathomechanics of the patient\u2019s gait pattern. A forefoot driven hindfoot varus was evident from the presurgical data and the tendon transfer procedure was deemed unnecessary. A computer was used in the OR to provide surgeons with animations of the patient\u2019s gait and graphical results as needed. A second gait analysis was conducted 6 weeks post surgery, shortly after cast removal. Post-surgical gait data showed improved foot segment orientation and position. Motion capture data provides clinicians with detailed information on the multisegment kinematics of foot motion during gait, before and during surgery. Further, treatment effectiveness can be evaluated by repeating gait analyses after recovery.<\/jats:p>","DOI":"10.2174\/1874325000903010089","type":"journal-article","created":{"date-parts":[[2009,11,6]],"date-time":"2009-11-06T13:01:17Z","timestamp":1257512477000},"page":"89-95","update-policy":"http:\/\/dx.doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Using Three-Dimensional Gait Data for Foot\/Ankle Orthopaedic Surgery"],"prefix":"10.2174","volume":"3","author":[{"given":"Gwyneth","family":"de Vries","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Roy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Chester","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"965","reference":[{"key":"refR1","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1097\/01241398-199709000-00007","volume":"17","author":"DeLuca PA","year":"1997","unstructured":"DeLuca PA, Davis RB 3rd, Ounpuu S, et al. \n                Alterations in surgical decision making in patients with cerebral palsy based on three-dimensional gait analysis \n                J Pediatr Orthop  \n                1997; \n                17\n                (5)\n                : 608-14.","journal-title":"J Pediatr Orthop"},{"key":"refR2","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1097\/01241398-200401000-00009","volume":"24","author":"Schwartz MH","year":"2004","unstructured":"Schwartz MH, Viehweger E, Stout \n                        , et al. \n                Comprehensive treatment of ambulatory children with cerebral palsy: an outcome assessment \n                J Pediatr Orthop  \n                2004; \n                24\n                (1)\n                : 45-53.","journal-title":"J Pediatr Orthop"},{"key":"refR3","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1080\/096382800296737","volume":"22","author":"Hailey D","year":"2000","unstructured":"Hailey D, Tomie J. \n                An assessment of gait analysis in the rehabilitation of children with walking difficulties \n                Disabil Rehabil  \n                2000; \n                22\n                (6)\n                : 275-80.","journal-title":"Disabil Rehabil"},{"key":"refR4","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1097\/01202412-200505000-00012","volume":"14","author":"Wren TA","year":"2005","unstructured":"Wren TA, Woolf K, Kay RM. \n                How closely do surgeons follow gait analysis recommendations and why? 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