Open research questions in Lower Extremity Biomechanics and Pathologies
513 gap statements mined from Lower Extremity Biomechanics and Pathologies papers in our 7.9M-paper local library, which holds 2,914 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
Further studies are needed to confirm the findings in a larger population. Studies should investigate the relationship between patellar lateralization and other factors that contribute to PFOA. Research should focus on developing new methods for evaluating patellar lateralization.
Assessment of Patellar Lateralization and Its Association with Patellofemoral Osteoarthritis Severity: A Retrospective MRI-Based Study · 2026 · DOIPrior studies have not fully investigated the correlation between patellar lateralization and PFOA severity.
Assessment of Patellar Lateralization and Its Association with Patellofemoral Osteoarthritis Severity: A Retrospective MRI-Based Study · 2026 · DOIOne challenge is the complexity of patella fractures, which can result from various mechanisms and have different fracture patterns. Another challenge is the limited understanding of the variables associated with fixation failure in patella fractures. The study also faced challenges in terms of patient follow-up, with some patients having less than 90 days of follow-up.
Early complications associated with fixation constructs of operatively treated patella fractures: a retrospective study · 2026 · DOIFurther comparative studies are needed to establish the role of the hybrid SVW+TBW construct relative to plate fixation. Studies with larger sample sizes are needed to confirm the findings.
Hybrid separate vertical wiring plus tension-band fixation for inferior-pole patellar fractures with articular-body extension: a consecutive series of 14 cases · 2026 · DOIThere is a lack of consensus on the optimal fixation strategy for comminuted patella fractures. The current fixation strategies for comminuted patella fractures have high failure rates. There is a need for a more effective fixation strategy for comminuted patella fractures.
Low early fixation failure rates with variable-angle locking plate fixation of AO/OTA 34 C patella fractures: a retrospective cohort study · 2026 · DOIThere is a lack of clinical studies investigating dorsal plating in patellar fractures. The study aims to fill this gap by comparing clinical and functional outcomes between two osteosynthesis techniques.
Clinical outcomes of contoured dorsal mini-fragment plate fixation versus tension band wiring for transverse articular patellar fractures: a prospective observational study · 2026 · DOIThe need to integrate multiscale force patterns, learned convolutional representations, and raw-waveform linear information. The challenge of selecting an effective temporal-receptive-field configuration for the multi-scale temporal backbone. The difficulty of evaluating the contribution of each probability component in the hybrid fusion.
GaitScreen: a ground reaction force-based framework for prescreening gait abnormalities in orthopaedic populations · 2026 · DOIThe need to capture complex relationships in the data without imposing rigid assumptions about the underlying functional form. The challenge of predicting continuous outcomes such as injury likelihood in sports science.
Predicting knee pain severity in professional distance runners using gaussian process regression · 2026 · DOIFurther research could investigate the application of GPR models to other types of injuries or sports. Future studies could explore the use of larger datasets or more diverse populations. Additional research could examine the effectiveness of GPR models in real-world training scenarios.
Predicting knee pain severity in professional distance runners using gaussian process regression · 2026 · DOIThe diversity of materials and lack of standard terminology hinder comparison across studies. Most simulations do not represent real-world footwear conditions, omitting the upper and assuming unrestricted dorsal-foot motion.
Finite element analysis of foot-insole biomechanics for insole design: a systematic review · 2026 · DOICurrent tibial load monitoring methods rely mainly on laboratory equipment and wearable devices, but datasets combining both sources are limited. Wearable-based algorithms often fail to capture deep signal features, hindering early detection and prevention of tibial fatigue injuries.
Application of Wearable Insole Sensors in In-Place Running: Estimating Lower Limb Load Using Machine Learning · 2025 · DOIAdductor sling (AS) and anatomic femoral tunnel (AFT) are femoral-side fixation options for medial patellofemoral ligament reconstruction (MPFLR), but direct comparative evidence remains limited.
Adductor sling and anatomic femoral tunnel fixation both yield high postoperative functional scores after medial patellofemoral ligament reconstruction: A retrospective multicenter study · 2026 · DOIOptimal treatment strategies for (osteo-)chondral injuries following patellar dislocation remain unclear.
Revision rates are similar after surgical treatment of acute chondral and osteochondral injuries following patellar dislocation: A multicentre cohort study · 2026 · DOIAlthough age-related kinematic changes have been described, how dual-tasking affects running patterns and when these changes occur remains unclear.
Kinematic analysis of road running under motor and cognitive dual-task conditions in young, middle-aged and older experienced and trainer runners · 2026 · DOIRunning on unpaved trails is commonly perceived to reduce impact loading and injury risk, yet biomechanical evidence remains limited across age groups.
Age-related differences in tibial accelerations and cadence between paved and unpaved trail surfaces during a prolonged run · 2026 · DOISurface-related alterations in joint loading during trail running remain unclear.
Surface-related differences in lower-limb biomechanics during running on concrete and artificial turf using OpenSim · 2026 · DOIWhile additional work is needed to mitigate increases in vasti EMG, our data demonstrates that individuals with knee osteoarthritis can reduce gastrocnemius EMG and late-stance knee contact force in a brief period of training, suggesting the potential of muscle coordination retraining as a non-surgical intervention for knee osteoarthritis.
Retraining Gastrocnemius Muscle Coordination Reduces Late-Stance Knee Contact Force in Individuals With Knee Osteoarthritis · 2026 · DOIMulti-wearable sensor and multi-camera setups have been explored but remain complex and lack validation across diverse gait modifications in individuals with knee OA.
Single-Camera Knee Adduction Moment Estimation for Individuals With Knee Osteoarthritis via a Novel Spatio-Temporal Graph Transformer Network · 2026 · DOIGround reaction force (GRF) is a key indicator for evaluating load-suspended backpacks, which have demonstrated biomechanical and energetic advantages during level walking but have not yet been studied for slope walking.
An Optimized Bipedal Model for Estimating the Vertical and Anteroposterior Ground Reaction Forces During Slope Walking While Carrying a Suspended Load · 2026 · DOIThese results highlight the limited and inconsistent associations of BMI with PPP and support further investigation of detailed anthropometry in individualized PP and gait assessment.
Beyond BMI: The Role of Anthropometric Measurements in Predicting Plantar Pressure Distribution and Gait Biomechanics · 2026 · DOIIncorporating dynamic soft-tissue behavior into the simulation model. Patient-specific modeling of ligament properties, muscle forces, and joint contact mechanics. Investigating the influence of advanced degenerative changes on the osseous landmarks.
Influence of the screw-home mechanism on TT-TG distance: a 3D kinematic simulation study · 2026 · DOIRetrospective study design, - Limited to a single Level I trauma center, - Patients with less than 90 days of follow-up were excluded, - Insufficient medical record documentation was an exclusion…
Early complications associated with fixation constructs of operatively treated patella fractures: a retrospective study · 2026 · DOIThe study was non-randomized, - The sample size was relatively small, - The study was conducted at a single Level I trauma center, - The follow-up period was limited to a minimum of 1…
Clinical outcomes of contoured dorsal mini-fragment plate fixation versus tension band wiring for transverse articular patellar fractures: a prospective observational study · 2026 · DOIThe sample size was modest, - All participants were drawn from a single previously reported cohort, - The locked test set was separated from model development but remained part of the same source cohort, - Important clinical and demographic factors may influence plantar-pressure…
Radiographic Knee Osteoarthritis Identification Using Wearable Plantar Pressure: Secondary Cross-Sectional Analysis of Interpretable Framework Integrating Biomechanical Descriptors and the Multiscale Synergy Index · 2026 · DOIConfirmation in larger independent cohorts, - Examination of feature stability, - Investigation of phase-resolved PSI patterns, - Analysis of robustness to perturbation and design…
Radiographic Knee Osteoarthritis Identification Using Wearable Plantar Pressure: Secondary Cross-Sectional Analysis of Interpretable Framework Integrating Biomechanical Descriptors and the Multiscale Synergy Index · 2026 · DOI
Most-cited papers in Lower Extremity Biomechanics and Pathologies
- Epidemiology and Natural History of Acute Patellar Dislocation · The American Journal of Sports Medicine · 2004 · 1,054 citations
- Soft Tissue Restraints to Lateral Patellar Translation in the Human Knee · The American Journal of Sports Medicine · 1998 · 853 citations
- Muscular coactivation · The American Journal of Sports Medicine · 1988 · 666 citations
- Tibial Stress Reaction in Runners · The American Journal of Sports Medicine · 1995 · 564 citations
- The Effect of Foot Structure and Range of Motion on Musculoskeletal Overuse Injuries · The American Journal of Sports Medicine · 1999 · 500 citations
- Effect of landing stiffness on joint kinetics and energetics in the lower extremity · Medicine & Science in Sports & Exercise · 1992 · 475 citations
- Strength Increase after Whole-Body Vibration Compared with Resistance Training · Medicine & Science in Sports & Exercise · 2003 · 469 citations
- Effects of Step Rate Manipulation on Joint Mechanics during Running · Medicine & Science in Sports & Exercise · 2010 · 459 citations
- Characteristics of Patients with Primary Acute Lateral Patellar Dislocation and Their Recovery within the First 6 Months of Injury · The American Journal of Sports Medicine · 2000 · 458 citations
- Acute Dislocation of the Patella · The American Journal of Sports Medicine · 1996 · 453 citations
Most recent work
- EFFECT OF DIFFERENT BALANCE TRAINING PROGRAMS ON POSTURAL CONTROL IN CHRONIC ANKLE INSTABILITY: A RANDOMIZED CONTROLLED TRIAL · PubMed · 2026
- Osteoarthritis year in review 2025: Biomechanics · Osteoarthritis and Cartilage · 2026
- Tibiofemoral rotation is significantly higher in patients with patellofemoral maltracking and torsional deformity · Archives of Orthopaedic and Trauma Surgery · 2026
- A focused comparison of mechanical and human-centered slip resistance testing for winter footwear · Tribology International · 2026
- Increased tibiofemoral rotation is associated with anatomical risk factors for lateral patella instability · Journal of Experimental Orthopaedics · 2026
- Finite element analysis-based optimization of longitudinal bending stiffness and rearfoot stability in carbon-plated running shoes · Frontiers in Bioengineering and Biotechnology · 2026
- Machine learning-based estimation of structure-specific load around the ankle and knee joint during running using IMU data · Frontiers in Bioengineering and Biotechnology · 2026
- Female trail running: a systematic scoping review · Frontiers in Sports and Active Living · 2026
- Low Complication Rate Following Contemporary Pure Anteriorization Tibial Tubercle Osteotomy for Patellofemoral Chondral Wear in Patients Aged Less Than 50 Years · Arthroscopy The Journal of Arthroscopic and Related Surgery · 2026
- Femoral Rotation Osteotomy in Patellofemoral Instability Surgery · Sports Medicine and Arthroscopy Review · 2026
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