The effects of tibiofibularis anterior ligaments on ankle joint biomechanics Tibiofibularis anterior ligamaninin ayak bileği eklemi biyomekaniğine etkisi


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KARAKAŞLI A., ERDURAN M., Baktıroğlu L., Büdeyri A., YILDIZ D. V., HAVITÇIOĞLU H.

Ulusal Travma ve Acil Cerrahi Dergisi, vol.21, no.2, pp.90-95, 2015 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 21 Issue: 2
  • Publication Date: 2015
  • Doi Number: 10.5505/tjtes.2015.27163
  • Journal Name: Ulusal Travma ve Acil Cerrahi Dergisi
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.90-95
  • Keywords: Ankle biomechanics, anterior inferior tibiofibular ligament, axial compression test, displacement, non-contact measurement, SYNDESMOSIS, SPRAINS, MECHANISMS, FIBULA
  • Dokuz Eylül University Affiliated: Yes

Abstract

© 2015 TJTES.BACKGROUND: The aim of this study was to evaluate the biomechanical behavior of anterior inferior tibiofibularis ligament (AITFL) deficient human ankle under axial loading of ankle at stance phase of gait. In order to investigate the contribution of AITFL to ankle stability, an in vitro sequential experimental setup was simulated. METHODS: The measurement of posterior displacement of distal tibia and anterior displacement of the foot, in neutral position, secondary to axial compression, was performed by two non-contact video extensometers. Eight freshly frozen, anatomically intact, cadaveric human ankle specimens were included and tested. An axial compression test machine was utilized from 0 to 800 Newtonswith a loading speed of 5 mm/min in order to simulate the axial weight-bearing sequence of the ankle at stance phase of human gait. RESULTS: There was a statistically significant difference between anteroposterior displacement values for AITFL-Intact and AITFLDissected specimens (p≤0.05). Mean AITFL-Intact and mean AITFL-Dissected ankle anteroposterior displacement was 1.28}0.47 mm and 2.06}0.7 mm, respectively. CONCLUSION: This study determined some numerical and quantitative data about the biomechanical properties of AITFL in neutral foot position. In the emergency department, diagnosis and treatment of AITFL injury, due to ankle distortion, is important. In AITFL injuries, ankle biomechanics is affected, and ankle instability occurs.