Biomechanical Comparison of Syndesmotic Repair Techniques During External Rotation Stress

Foot & Ankle International
Jessica E GoetzPhinit Phisitkul

Abstract

The purpose of this study was to compare mechanical behavior of conventional syndesmosis fixation devices with new anatomic repair techniques incorporating various repair augmentations to determine which approach would return rotational ankle mechanics closer to those of an intact ankle. Ten pairs of fresh-frozen through-the-knee cadaveric lower limbs were subjected to 7.5 Nm of external rotation torque while under 750 N of axial compression. After testing specimens intact and with the deltoid and syndesmotic ligament complexes completely destabilized, specimens underwent syndesmotic fixation using a screw, a suture button construct, a prototype structurally augmented flexible trans-syndesmotic fixation device, or the prototype device plus suture repairs of the anterior-inferior tibiofibular ligament and deep deltoid ligament. Syndesmotic repair devices were exchanged between tests so that each specimen was tested with 2 different fixation techniques. Whole-foot rotation angles at 7.5 Nm of applied torque were measured for comparison of the different repair strategies, and reflective markers mounted on the tibia, fibula, and talus were used to track translations and rotations of the talus and the fibula relative to the tibia du...Continue Reading

References

Apr 6, 2002·Journal of Biomechanics·Ge WuUNKNOWN Standardization and Terminology Committee of the International Society of Biomechanics
Dec 18, 2004·Medical Engineering & Physics·Brendan McCaneTamara King
Jun 2, 2005·Journal of Biomechanics·Todd O McKinleyThomas D Brown
Apr 12, 2008·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Yuki TochigiThomas D Brown
Feb 24, 2012·Journal of Orthopaedic Trauma·H Claude SagiRoy W Sanders
Aug 4, 2012·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Thomas HuberAndreas Bölderl
Sep 22, 2012·Foot & Ankle International·Phil StoreyMark Bowen Davies
Aug 21, 2013·Current Reviews in Musculoskeletal Medicine·Kenneth J Hunt
Sep 11, 2013·Foot & Ankle International·Edward EbramzadehThomas G Harris
May 23, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Brandon E GoughPaul H Wooley
Jul 17, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Bing XieJing Tian
Dec 3, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Choon Chiet HongKen Jin Tan
Aug 28, 2015·Journal of Orthopaedic Trauma·Patrick C SchottelDean G Lorich
Jul 28, 2016·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Jung-Han KimDae-Yoo Kim
Sep 28, 2016·Foot & Ankle International·Thomas O ClantonRobert F LaPrade
Sep 30, 2016·Foot & Ankle International·Thomas O ClantonRobert F LaPrade
Jan 6, 2017·Orthopedics·Amanda J FantryRoman A Hayda
Mar 23, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jian CheMing Han Lincoln Liow
May 6, 2017·World Journal of Orthopedics·Markus RegauerWolfgang Böcker
May 17, 2017·Orthopaedic Journal of Sports Medicine·Paul F FörschnerJonas Pogorzelski
Oct 14, 2017·Foot & Ankle International·Pieter D'HoogheKenneth J Hunt

❮ Previous
Next ❯

Citations

Dec 19, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Alexandre HardyUNKNOWN Study Investigators
Feb 29, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Jeffrey Wake, Kevin D Martin
Nov 19, 2020·Foot & Ankle International·Mitchell C HarrisAnthony I Riccio
May 16, 2019·The Orthopedic Clinics of North America·Craig C Akoh, Phinit Phisitkul
Apr 17, 2021·SICOT-J·Gowreeson ThevendranNasef Mohamed Nasef Abdelatif

❮ Previous
Next ❯

Methods Mentioned

BETA
dissections

Software Mentioned

MATLAB
GraphPad Prism
Prism
GraphPad
Aug

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Jian CheMing Han Lincoln Liow
The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Brandon E GoughPaul H Wooley
© 2022 Meta ULC. All rights reserved