LIGAMENT STRAIN AND ANKLE JOINT OPENING DURING ANKLE DISTRACTION

被引:20
作者
ALBERT, J
REIMAN, P
NJUS, G
KAY, DB
THEKEN, R
机构
[1] Department of Orthopaedics, Akron General Medical Center, Akron, OH
来源
ARTHROSCOPY | 1992年 / 8卷 / 04期
关键词
ANKLE DISTRACTION; ANKLE JOINT; LIGAMENT STRAIN;
D O I
10.1016/0749-8063(92)90010-9
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
To determine the efficacy of ankle distraction and to investigate Possible complications of the procedure, the strain on four ankle ligaments and the tibiotalar joint opening resulting from distraction force and various foot positions were studied. We mounted strain gauges on the deltoid, calcaneofibular, tibiofibular, and anterior talofibular ligaments of six fresh human cadaver ankles. An Acufex ankle distractor was used to apply forces of 45, 90, 135, and 180 N at 20-degrees dorsiflexion, neutral, and 10-degrees plantar flexion. The ankle distractor proved to be effective in opening the joint space for better visualization, but complications of in bending, excessive ligament strain, and bony destruction did occur within the clinically recommended range. Based on the observed results, the safest method of distraction was to use forces < 135 N in the neutral position.
引用
收藏
页码:469 / 473
页数:5
相关论文
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