The act of raising the heel up is an essential portion of the gait cycle in humans, comprising the third rocker in the gait cycle. This act further demands specific motions from the hindfoot, and the surrounding structures. These motions have been previously studied and are reasonably well understood. End-stage osteoarthritis of the ankle (or ESOA) has been theorized to affect not only the ankle joint, but the same joints required for heel rise. (i.e. - hindfoot, lower leg, and foot) In the present research, the powerful effect that ESOA has on the lower leg, hindfoot and forefoot biomechanical relationship was demonstrated as significantly different from that of healthy age and sex-matched controls. This has implications not only for further research, but potentially treatment as well.

The act of raising the heel up is an essential portion of the gait cycle in humans, comprising the third rocker in the gait cycle. This act further demands specific motions from the hindfoot, and the surrounding structures. These motions have been previously studied and are reasonably well understood. End-stage osteoarthritis of the ankle (or ESOA) has been theorized to affect not only the ankle joint, but the same joints required for heel rise. (i.e. - hindfoot, lower leg, and foot) In the present research, the powerful effect that ESOA has on the lower leg, hindfoot and forefoot biomechanical relationship was demonstrated as significantly different from that of healthy age and sex-matched controls. This has implications not only for further research, but potentially treatment as well.