TY - JOUR
T1 - Estudio biomecánico de la reconstrucción ligamentosa anatómica con autoinjerto en la inestabilidad lateral de tobillo
AU - Mellado-Romero, María Ángela
AU - Guerra-Pinto, Francisco
AU - Guimarães-Consciência, José
AU - Sánchez-Morata, Enrique J.
AU - Vacas-Sánchez, Elena
AU - Arroyo-Hernández, Marta
AU - Abarquero-Diezhandino, Ana
AU - Vázquez Osorio, M. Teresa
AU - Ramos-Pascua, Luis
AU - Vilá-Rico, Jesús
PY - 2020
Y1 - 2020
N2 - Introduction: The purpose of this work is perform a biomechanical comparison of anatomic reconstruction of the anterior talofibular ligament (ATFL) with the intact ATFL. Materials and methods: We studied 18 fresh cadaveric ankles with intact ATFL. Each specimen was clinically assessed with the anterior drawer (AD) and varus tilt (VT) tests and the angular movement in the three spatial planes (axial, coronal and sagittal) was measured with an arthrometer using a sensor located in the talus. Results: Statistically significant differences were found in the axial plane, between the intact ATFL versus the sectioned ATFL for AD test with p = 0.012, and for VT test with p = 0.013. Regarding the coronal plane, we also observed a statistically significant difference for VT test with p = 0.016. In the sagittal plane, there are no statistically significant differences in both maneuvers. No statistically significant differences were found when comparing the biomechanics of anatomic ligament reconstruction versus the intact ATFL. Conclusion: Autograft anatomic reconstruction of the ATFL showed biomechanical properties similar to those of the native ATFL, at the zero moment in a cadaveric model.
AB - Introduction: The purpose of this work is perform a biomechanical comparison of anatomic reconstruction of the anterior talofibular ligament (ATFL) with the intact ATFL. Materials and methods: We studied 18 fresh cadaveric ankles with intact ATFL. Each specimen was clinically assessed with the anterior drawer (AD) and varus tilt (VT) tests and the angular movement in the three spatial planes (axial, coronal and sagittal) was measured with an arthrometer using a sensor located in the talus. Results: Statistically significant differences were found in the axial plane, between the intact ATFL versus the sectioned ATFL for AD test with p = 0.012, and for VT test with p = 0.013. Regarding the coronal plane, we also observed a statistically significant difference for VT test with p = 0.016. In the sagittal plane, there are no statistically significant differences in both maneuvers. No statistically significant differences were found when comparing the biomechanics of anatomic ligament reconstruction versus the intact ATFL. Conclusion: Autograft anatomic reconstruction of the ATFL showed biomechanical properties similar to those of the native ATFL, at the zero moment in a cadaveric model.
KW - Anatomic reconstruction
KW - Ankle biomechanics
KW - Ankle sprain
KW - Anterior talofibular ligament
KW - Lateral ankle instability
KW - Lateral ligament complex
UR - http://www.scopus.com/inward/record.url?scp=85097662505&partnerID=8YFLogxK
U2 - 10.1016/j.recot.2020.06.010
DO - 10.1016/j.recot.2020.06.010
M3 - Article
AN - SCOPUS:85097662505
JO - Revista Espanola de Cirugia Ortopedica y Traumatologia
JF - Revista Espanola de Cirugia Ortopedica y Traumatologia
SN - 1888-4415
ER -