Abstract:
:The purpose of this ex vivo biomechanical study was to determine the strength and stiffness of the anterior and posterior syndesmotic tibiofibular ligaments and the posterior tibiotalar component of the deltoid ligament. Injuries to these ligaments are a prevalent clinical problem, yet little is known about their mechanical behavior. Ten fresh-frozen cadaver lower extremities (average age at death, 72 +/- 8 years) were harvested. The anterior and posterior tibiofibular ligaments and the posterior tibiotalar component of the deltoid were isolated and prepared as bone-ligament-bone complexes for tensile testing to determine strength, stiffness, and mode of failure. The posterior tibiofibular ligament exhibited greater strength, but not significantly so (p < .05), than the anterior tibiofibular ligament and the posterior tibiotalar component of the deltoid ligament. There were no significant differences in stiffness between the three ligaments tested. The dominant mode of failure for the anterior tibiofibular ligament was ligament substance rupture, primarily near its fibular insertion, whereas the failure modes of the posterior tibiofibular ligament were evenly split between substance ruptures and fibular avulsions. The posterior tibiotalar component of the deltoid ligament ruptured most often near the talar insertion. The tibiofibular ligaments showed greater strength than the lateral collateral and deltoid ligaments, as mentioned in literature. The greater strength of the tibiofibular ligaments relative to the lateral collateral and deltoid ligaments suggests that these ligaments play an important role in ankle constraint.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Beumer A,van Hemert WL,Swierstra BA,Jasper LE,Belkoff SMdoi
10.1177/107110070302400509keywords:
subject
Has Abstractpub_date
2003-05-01 00:00:00pages
426-9issue
5eissn
1071-1007issn
1944-7876journal_volume
24pub_type
杂志文章abstract::Periprosthetic osteolysis is a common occurrence after total ankle arthroplasty (TAA) and poses many challenges for the foot and ankle surgeon. Osteolysis may be asymptomatic and remain benign, or it may lead to component instability and require revision or arthrodesis. In this article, we present a current and compre...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720978426
更新日期:2020-12-21 00:00:00
abstract::26 patients with 28 pes planovalgus feet secondary to Johnson stage 2 posterior tibial tendon insufficiency were treated with flexor digitorum longus tendon transfer, lateral column lengthening, medial displacement calcaneal osteotomy, and heel cord lengthening. The mean patient age at surgery was 48.5 years. The AOFA...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200403
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abstract:BACKGROUND:The Salto Talaris is a fixed-bearing implant first approved in the US in 2006. While early surgical outcomes have been promising, mid- to long-term survivorship data are limited. The aim of this study was to present the survivorship and causes of failure of the Salto Talaris implant, with functional and radi...
journal_title:Foot & ankle international
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journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079501600712
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abstract::Foot and ankle operations are being performed with greater frequency as outpatient procedures. Although the surgical procedure remains the same whether the operation is done in an inpatient or an outpatient setting, the anesthesia and postoperative analgesia are greatly affected when patients must be discharged soon a...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002100107
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abstract::Seven fresh-frozen cadaver specimens had a calcaneal osteotomy performed obliquely through the posterior portion of the calcaneus. Angular relationships between the first metatarsal and talus were recorded with the use of a motion-analysis system in the transverse, sagittal, and coronal planes. The specimen was mounte...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900606
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journal_title:Foot & ankle international
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doi:10.1177/1071100712459173
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300512
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
pub_type: 杂志文章
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abstract:BACKGROUND:Patients with arthritis or severe dysfunction involving both the ankle and subtalar joints can benefit from tibiotalocalcaneal (TTC) arthrodesis or total ankle replacement and subtalar fusion. TTC fusion is considered by many as a salvage operation resulting in a stiff ankle and hindfoot, considerably limiti...
journal_title:Foot & ankle international
pub_type: 杂志文章
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abstract:BACKGROUND:The modalities currently available to clinicians to confirm the clinical suspicion of posterior tibial tendinitis include MRI, CT, sonography, tenography, and local anesthetic tendon sheath injections. There are no reports in the literature comparing local anesthetic tendon sheath injection to MRI as tools f...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.1124
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abstract:BACKGROUND:There is limited consensus on the optimal operative technique for correcting heel varus in patients with Charcot-Marie-Tooth (CMT) disease. This comparative study evaluated the ability of 4 lateralizing calcaneal osteotomies, with and without Dwyer wedge resection and coronal rotation of the posterior tubero...
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pub_type: 杂志文章
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更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Morton's neuroma is a common primary diagnosis for referral to foot and ankle surgeons. On presentation, many patients have had an ultrasound reporting the presence of Morton's neuroma, which may not correlate with the clinical examination findings. The prevalence of such sonographic findings in the general ...
journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:2012-07-01 00:00:00
abstract::We report 8 cases of puncture wound of the foot associated with rubber foreign bodies in patients who were wearing rubber-soled shoes. The difficulty in making the correct diagnosis and the complications arising from these injuries are reviewed. The morbidity associated with these seemingly innocuous puncture wounds c...
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pub_type: 杂志文章
doi:10.1177/107110070102200509
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070502600402
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND:Osteonecrosis of the talus is a well-recognized pathology, which can result in significant hindfoot collapse resulting in poor function and pain. Treatment with intramedullary tibiotalocalcaneal arthrodesis (IMTCA) using a retrograde intramedullary nail is widely utilized for severe concomitant tibiotalar an...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714558506
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:There is scant literature regarding the treatment of myotendinous Achilles ruptures. The purpose of this study was to retrospectively examine clinical outcomes from uniform nonsurgical treatment of these injuries. METHODS:Between November 2005 and May 2011, 30 patients presented with an acute, complete myot...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713483115
更新日期:2013-08-01 00:00:00
abstract::We describe three cases of low-energy injuries to the midfoot resulting in rupture of Lisfranc's ligament without tarsometatarsal injury. Examination of the feet revealed an obvious physical sign only on weightbearing, and all three patients were noted at surgery to have intercuneiform instability in association with ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902000912
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journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:2019-10-01 00:00:00
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602701218
更新日期:2006-12-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713496770
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:One of the goals of the AOFAS website is to provide easily understandable information about orthopaedic foot and ankle conditions to the public. However, validation of this goal has not been conducted. Evaluation of text reading level is frequently performed using the Flesch-Kincaid formula (FKF). This study...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.0287
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to evaluate the efficacy of corticosteroid injection and determine the duration of symptom-free period after treatment with a single ultrasound-guided injection for a painful Morton's neuroma. MATERIALS AND METHODS:From May 2002 to November 2003, 35 consecutive patients (7 male...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
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更新日期:2008-05-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to assist surgeons treating calcaneal fractures in choosing the most predictive fracture classification and clinical outcome tool. MATERIALS AND METHODS:For 152 patients (189 calcaneal fractures; average followup, 9.9 years), all fractures were classified in accordance with the...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2009.0229
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:The Self-reported Foot and Ankle Score (SEFAS) is a patient-reported outcome measure, while the American Orthopedic Foot and Ankle Society Score (AOFAS) is a clinician-based score, both used for evaluation of foot and ankle disorders. The purpose of this study was to compare the psychometric properties of th...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714543647
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:Previous studies have demonstrated higher infection rates following elective procedures on the foot and ankle compared with procedures involving other areas of the body. Previous studies also have documented the difficulty of eliminating bacteria from the forefoot prior to surgery. The purpose of the present...
journal_title:Foot & ankle international
pub_type: 杂志文章,随机对照试验
doi:10.3113/FAI.2009.0860
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND::The current work sought to quantify pronation of the first metatarsal relative to the second metatarsal and of the proximal phalanx of the great toe relative to the first metatarsal. METHODS::Three-dimensional models were reconstructed from weightbearing computed tomography (CT) images (10 hallux valgus, 1...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100718793391
更新日期:2018-12-01 00:00:00