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Native anterior talo-fibular ligament tensile characteristics compared to allograft, suture tape, and copolymer augmentation elements: A biomechanical study.
J Foot Ankle Surg
January 2025
Arthrex, Inc., Naples, FL, USA. Electronic address:
Surgical augmentation methods have been introduced to the Modified Broström (MB) technique to support native anterior talo-fibular ligament (ATFL) healing and function. This study aimed to investigate the isolated biomechanical performance of common MB augmentation elements, including allograft, suture tape, and copolymer, compared to native ATFL. Six cadaveric feet were dissected, isolating the ATFL from all surrounding soft tissue.
View Article and Find Full Text PDFMRI and single-cell RNA sequence results reveal the influence of anterior talofibular ligament injury on osteochondral lesions of the talus.
J Orthop Surg Res
August 2024
Macau University of Science and Technology, Macau, 999078, China.
Anterior talofibular ligament injuries and osteochondral lesions of the talus present unique challenges to orthopedic surgeons. This study aimed to investigate the relevant relationship between them by analyzing the Magnetic resonance imaging (MRI) results of clinical patients and single-cell RNA sequence (scRNA seq) results of healthy talus cartilage to discuss the risk factors. Data from 164 patients from 2018 to 2023 was retrospectively analyzed.
View Article and Find Full Text PDFThe precision of technical aspects in the minimally invasive Broström-Gould procedure: a cadaveric anatomical study.
J Orthop Surg Res
July 2024
Department of Hand and Foot & Ankle Surgery, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, 518052, Guangdong Province, China.
Background: A comprehensive understanding of the anatomy of the anterolateral ankle joint and its interrelationships is essential for advancing the development of minimally invasive Broström-Gould procedure, thereby enhancing surgical efficacy and minimizing postoperative complications.
Methods: Ten fresh human ankle specimens were dissected to observe the shape and trajectory of the lateral bundle of the inferior extensor retinaculum (IER) and its relationship with the deep fascia. To observe the relationship between the ankle capsule and the anterior talofibular ligament (ATFL).
Arthroscopic anterior deltoid plication with bone anchor is an effective procedure to control residual talar anterior translation after lateral ligament repair.
Knee Surg Sports Traumatol Arthrosc
August 2024
Laboratory of Arthroscopic and Surgical Anatomy, Department of Pathology and Experimental Therapeutics (Human Anatomy Unit), University of Barcelona, Barcelona, Spain.
Article Synopsis
- Residual symptoms after ankle lateral ligament repairs can occur due to hyperlaxity and instability; this study explores anterior deltoid plication as an additional stabilization technique.
- The procedure involved eight patients with continued instability post-lateral ligament repair, who underwent arthroscopic plication of the anterior deltoid using a bony anchor.
- Results showed subjective improvement in all patients, with negative anterior drawer tests and a significant increase in the American Orthopedic Foot and Ankle Society score, suggesting that deltoid plication effectively enhances ankle stability.
Anatomical factors in the development of medial-sided osteochondral lesion of the talus: a comparative analysis.
Surg Radiol Anat
July 2024
Istanbul University, Istanbul, Turkey.
Purpose: The aim of this study was to determine anatomical predictors for the occurrence of medial osteochondral lesions of the talus (OLT), by analyzing morphometric variables obtained from magnetic resonance imaging (MRI).
Methods: A total of 430 ankles with 215 ankle MRIs from patients with nontraumatic OLTs on the medial side of the talar dome and an equal number of age, sex, and side-matched healthy controls were analyzed in this retrospective study. The specific MRI parameters that were measured include the anterior opening angle of the talus (AOT), the angle between the tibial axis and medial malleolus (TMM), the angle of the tibial plafond to the malleoli (PMA), the angle between the anterior and posterior talofibular ligaments (ATFL-PTFL angle), length of the trochlea tali arc (TAL), sagittal length of distal tibial articular surface (TAS), the ratio of the sagittal length of distal tibial articular surface to the length of the trochlea tali arc (TAS/TAL), and the depth of the incisura fibularis (IncDep).
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