In which hand to take the cane? (Dialogue between an orthopedist and a biomechanic)

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Abstract

Orthopedist. In our previous conversation, when we talked about gentle claudication, you said that the patient chooses the optimal walking conditions for himself.
Biomechanic. Yes, it minimizes (as much as possible) the pain that occurs when you load the leg.
О. But by unloading the diseased leg, it overloads the healthy leg. And with a chronic process, the healthy leg will eventually become sore, too. Then what kind of "optimum" are we talking about?
B. That's right. We call optimal the regime that suits the organism the most at a given moment. The patient doesn't know what will happen to him tomorrow, but today he successfully solves the problem - he walks the distance from point "A" to point "B" with minimal pain.

About the authors

V. E. Belenky

Priorov Central Institute of Traumatology and Orthopedics; Samara Medical Institute

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow; Samara

G. V. Kuropatkin

Priorov Central Institute of Traumatology and Orthopedics; Samara Medical Institute

Email: info@eco-vector.com
Russian Federation, Moscow; Samara

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Copyright (c) 1994 Eco-Vector



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