Reconstructing the Gait Pattern of a Korean Cadaver with Bilateral Lower Limb Asymmetry Using a Virtual Humanoid Modeling Program

<b>Background and Objective</b>: This study presents a combined osteometric and biomechanical analysis of a Korean female cadaver exhibiting bilateral lower limb bone asymmetry with abnormal curvature and callus formation on the left femoral midshaft. <b>Methods</b>: To inves...

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Bibliographic Details
Main Authors: Min Woo Seo, Changmin Lee, Hyun Jin Park
Format: Article
Language:English
Published: MDPI AG 2025-08-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/15/15/1943
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Summary:<b>Background and Objective</b>: This study presents a combined osteometric and biomechanical analysis of a Korean female cadaver exhibiting bilateral lower limb bone asymmetry with abnormal curvature and callus formation on the left femoral midshaft. <b>Methods</b>: To investigate bilateral bone length differences, osteometric measurements were conducted at standardized landmarks. Additionally, we developed three gait models using <i>Meta Motivo</i>, an open-source reinforcement learning platform, to analyze how skeletal asymmetry influences stride dynamics and directional control. <b>Results</b>: Detailed measurements revealed that the left lower limb bones were consistently shorter and narrower than their right counterparts. The calculated lower limb lengths showed a bilateral discrepancy ranging from 39 mm to 42 mm—specifically a 6 mm difference in the femur, 33 mm in the tibia, and 36 mm in the fibula. In the gait pattern analysis, the normal model exhibited a straight-line gait without lateral deviation. In contrast, the unbalanced, non-learned model demonstrated compensatory overuse and increased stride length of the left lower limb and a tendency to veer leftward. The unbalanced, learned model showed partial gait normalization, characterized by reduced limb dominance and improved right stride, although directional control remained compromised. <b>Conclusions</b>: This integrative approach highlights the biomechanical consequences of lower limb bone discrepancy and demonstrates the utility of virtual agent-based modeling in elucidating compensatory gait adaptations.
ISSN:2075-4418