A COMPREHENSIVE STUDY OF PRESSURE DISTRIBUTION IN THE ANKLE JOINT WITH INVERSION AND EVERSION

被引：118

作者：

CALHOUN, JH

ENG, M

LI, F

LEDBETTER, BR

VIEGAS, SF

机构：

[1] Division of Orthopaedic Surgery, University of Texas Medical Branch, Galveston, Texas

来源：

FOOT & ANKLE INTERNATIONAL | 1994年 / 15卷 / 03期

关键词：

D O I：

10.1177/107110079401500307

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：

The understanding of load transfer characteristics is the baseline for biomechanics of the ankle joint. Changes in contact patterns of the articular cartilage from the norm may indicate pathologic conditions. Measurement of the contact in human cadaver ankles provides a direct measurement for this understanding. The force transfer characteristics of the three facets of the ankle joint were investigated. Five fresh-frozen cadaver lower extremities were tested in 12 positions under three axial loads of 490, 686, and 980 N. Fuji film served as the pressure transducer and the prints were analyzed by a computerized video digitizer. The results demonstrated that as the foot was moved into inversion or eversion with the ankle in neutral flexion or dorsiflexion, there was a decrease in total contact area and an increase in the average high pressure. In plantarflexion, the contact area was lower and the average high pressure was higher, indicating a greater force per unit area as compared with dorsiflexion and neutral flexion. In plantarflexion, however, little change was noted with inversion or eversion. In dorsiflexion, the total contact area was higher and the average high pressure slightly lower as compared with neutral flexion. With inversion, the contact area of the medial facet of the ankle increased and with eversion it increased on the lateral facet, especially in dorsiflexion. With an increase in loading, the pressure did not significantly increase but the contact area did increase. The centroid of the contact moved anteriorly to posteriorly on the talus as the joint moved from dorsiflexion to plantar-flexion. The talar dome facet sustained 77% to 90% of the load, while the medial facet was loaded more during inversion (up to 22%) and the lateral facet was loaded more during eversion (up to 10.5%). No previous study has examined the relative contributions of the three main talar joint surfaces in multiple positions. The new information in this study includes the fibular and medial facet contribution and the variation of the load with position changes and loading increase. This study also provides a comprehensive evaluation of the pressure, contact area, and centroid of the ankle joint in its normal ranges of motion.

引用

页码：125 / 133

页数：9

共 21 条

[1]

Beaudoin A.J., Fiore S.M., Krause W.R., Adelaar R.S., Effect of isolated talocalcaneal fusion on contact in the ankle and talonavicular joints, Foot Ankle, 12, pp. 19-25, (1991)

[2]

Close J.R., Some applications of the functional anatomy of the ankle joint, J. Bone Joint Surg., 38A, pp. 761-781, (1956)

[3]

Curtis M.J., Michelson J.D., Urquhart M.W., Byank R.P., Jinnah R.H., Tibiotalar contact and fibular malunion in ankle fractures, Acta Orthop. Scand., 63, pp. 326-329, (1992)

[4]

Frankel V.H., Nordin M., Biomechanics of the ankle. In, Basic Biomechanics of the Skeletal System., pp. 153-161, (1989)

[5]

Greenwald A.S., Matejczyk M.B., Keppler L., Black J.D., Moran J.M., Pomtt D., Beck R.D., Wilde A.H., Articular cartilage contact areas of the ankle, Transactions of 23rd Annual Meeting of the Orthopaedic Research Society, 2, (1977)

[6]

Kimizuka M., Kurosawa H., Fukubayashi T., Load-bearing pattern of the ankle joint, Contact area and pressure distribution. Arch. Orthop. Trauma. Surg., 96, pp. 45-49, (1980)

[7]

Lambert K.L., The weight bearing function of the fibula, A strain gauge study. J. Bone Joint Surg., 53A, pp. 507-513, (1971)

[8]

Lauge-Hansen N., Fractures of the ankle. II. Combined experimental-surgical and experimental-roentgenologic investigations, Arch. Surg., 60, pp. 957-985, (1950)

[9]

Lundberg A., Svensson O.K., Nemeth G., Selvik G., The axis of rotation of the ankle joint, J. Bone Joint Surg., 71B, pp. 94-99, (1989)

[10]

Macko V.W., Mathews L.S., Zwirkoski P., Golstein S.A., The jointantact area of the ankle, The contribution of the posterior malleolus. J. Bone Joint Surg., 73A, pp. 347-351, (1991)

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