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Ulus Travma Acil Cer · Mar 2015
The effects of tibiofibularis anterior ligaments on ankle joint biomechanics.
- Ahmet Karakaşlı, Mehmet Erduran, Lütfü Baktıroğlu, Aydın Büdeyri, Didem Venüs Yıldız, and Hasan Havıtçıoğlu.
- Department of Orthopedics and Traumatology, Dokuz Eylul University Faculty of Medicine, İzmir, Turkey. akarakasli@mailcity.com.
- Ulus Travma Acil Cer. 2015 Mar 1;21(2):90-5.
BackgroundThe 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.MethodsThe 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.ResultsThere was a statistically significant difference between anteroposterior displacement values for AITFL-Intact and AITFL-Dissected 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.ConclusionThis 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.
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