To analyze the effect of lower-limb rotation on foot pressure
distribution, 16 patients (23 feet) with neuromuscular diseases who
received derotation osteotomy of lower limbs without concomitant
foot-ankle procedures were included in this retrospective study. The
cross-correlation analysis showed that the interval change of the foot
progression angle was correlated with the interval change of the
medial-lateral foot pressure impulse distribution. The externally
rotated foot progression angle tends to introduce higher loading on the
medial foot, and the internally rotated foot progression angle shifts
the loading to lateral side of the foot. This study provides evidence
that the rotational profile of the lower limb has a substantial impact
on foot pressure distribution. (C) 2003 Elsevier B.V. All rights
reserved