Researchers tested a modified passive dynamic ankle-foot orthosis (PDAFO) and a training program as a nonsurgical alternative to amputation after high-energy lower-extremity trauma (HELET). The results indicated reduced pain and mobility improvement after the treatment. Additionally, none of the patients, all of whom were considering arthrodesis or amputation prior to the testing, wanted surgical intervention any longer.
The retrospective cohort study was conducted with 17 patients who considered an arthrodesis or an amputation after HELET. In an attempt to avoid surgery, the research team provided the PDAFO and a six-week training program. Pain scores were measured with the Numeric Rating Scale and administered at the start of testing, immediately after the two performance tests, and at the end of the day of testing. Performance was evaluated with the six-minute walk test (6MWT) and the Comprehensive High-level Activity Mobility Predictor (CHAMP).
The study, “A modified passive-dynamic ankle–foot orthosis: can it prevent amputation and arthrodesis in patients with ankle–foot trauma?,” was published in Trauma Surgery.