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-
1.
Kellett JJ: The clinical features of ankle syndesmosis injuries: a general review. Clin J Sport Med 21 : 524, 2011.
-
2.
Van Heest TJ & Lafferty PM: Injuries to the ankle syndesmosis. J Bone Joint Surg Am 96 : 603, 2014.
-
3.
Gardner MJ , Demetrakopoulos D & Briggs SM et al.: Malreduction of the tibiofibular syndesmosis in ankle fractures. Foot Ankle Int 27 : 788, 2006.
-
4.
Miller AN , Carroll EA & Parker RJ et al.: Direct visualization for syndesmotic stabilization of ankle fractures. Foot Ankle Int 30 : 419, 2009.
-
5.
Naqvi GA , Cunningham P & Lynch B et al.: Fixation of ankle syndesmotic injuries: comparison of tightrope fixation and syndesmotic screw fixation for accuracy of syndesmotic reduction. Am J Sports Med 40 : 2828, 2012.
-
6.
Sagi HC , Shah AR & Sanders RW: The functional consequence of syndesmotic joint malreduction at a minimum 2-year follow-up. J Orthop Trauma 26 : 439, 2012.
-
7.
Stark E , Tornetta P & Creevy WR: Syndesmotic instability in Weber B ankle fractures: a clinical evaluation. J Orthop Trauma 21 : 643, 2007.
-
8.
Wang R , Thur CK & Gutierrez-Farewik EM et al.: One year follow-up after operative ankle fractures: a prospective gait analysis study with a multi-segment foot model. Gait Posture 31 : 234, 2010.
-
9.
Davidovitch RI & Egol KA: “Ankle Fractures,” in Rockwood and Green's Fractures in Adults, 7th Ed, edited by Bucholz, RW, Heckman, JD, Court-Brown, CM & Tornetta P III, p 1974, Lippincott Williams & Wilkins, Philadelphia, 2010.
-
10.
Dattani R , Patnaik S & Kantak A et al.: Injuries to the tibiofibular syndesmosis. J Bone Joint Surg Br 90 : 405, 2008.
-
11.
Mani SB , Brown HC & Nair P et al.: Validation of the Foot and Ankle Outcome Score in adult acquired flatfoot deformity. Foot Ankle Int 34 : 1140, 2013.
-
12.
Kirby JL , Houston MN & Gabriner ML et al.: Relationships between mechanical joint stability and somatosensory function in individuals with chronic ankle instability. Foot (Edinb) 28 : 1, 2016.
-
13.
Gigi R , Haim A & Luger E et al.: Deviations in gait metrics in patients with chronic ankle instability: a case control study. J Foot Ankle Res 21 : 1, 2015.
-
14.
Nyska M , Shabat S & Simkin A et al.: Dynamic force distribution during level walking under the feet of patients with chronic ankle instability. Br J Sports Med 37 : 495, 2003.
-
15.
Çolak TK , Çolak İ & Timurtaş E et al.: Pedobarographic and radiological analysis after treating a talus neck fracture. J Foot Ankle Surg 55 : 1216, 2016.
-
16.
Genc Y , Gultekin A & Duymus TM et al.: Pedobarography in the assessment of postoperative calcaneal fracture pressure with gait. J Foot Ankle Surg 55 : 99, 2016.
-
17.
Jansen H , Frey SP & Ziegler C et al.. Results of dynamic pedobarography following surgically treated intraarticular calcaneal fractures. Arch Orthop Trauma Surg 133 : 259, 2013.
-
18.
Jansen H , Fenwick A & Doht S et al.: Clinical outcome and changes in gait pattern after pilon fractures. Int Orthop 37 : 51, 2013.
-
19.
Chissell HR & Jones J: The influence of a diastasis screw on the outcome of Weber type-C ankle fractures. J Bone Joint Surg Br 77 : 435, 1995.
-
20.
Reb CW , Hyer CF & Collins CL et al.: Clinical adaptation of the “tibiofibular line” for intraoperative evaluation of open syndesmosis reduction accuracy: a cadaveric study. Foot Ankle Int 37 : 1243, 2016.
Dynamic and Stabilometric Analysis After Syndesmosis Injuries
A Comparative Study
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Background
Distal tibiofibular syndesmosis contributes to dynamic stability of the ankle joint and thereby affects gait cycle. The purpose of this study was to evaluate the grade of syndesmosis injury on plantar pressure distribution and dynamic parameters of the foot.
Methods
Grade of syndesmosis injury was determined by preoperative plain radiographic evaluation, intraoperative hook test, or external rotation stress test under fluoroscopic examination, and two groups were created: group 1, patients with grade III syndesmosis injury (n = 17); and group 2, patients with grade II syndesmosis injury (n = 10). At the last visit, radiologic and clinical assessment using the Foot and Ankle Outcome Score was performed. Dynamic and stabilometric analysis was carried out at least 1 year after surgery.
Results
The mean age of the patients was 48.9 years (range, 17–80 years), and the mean follow-up was 16 months (range, 12–24 months). No statistically significant difference was noted between two groups regarding Foot and Ankle Outcome Score. The comparison of stabilometric and dynamic analysis revealed no significant difference between grade II and grade III injuries (P > .05). However, comparison of the data of patients with grade III syndesmosis injury between injured and healthy feet showed a significant difference for dynamic maximum and mean pressures (P = .035 and P = .49, respectively).
Conclusions
Syndesmosis injury does not affect stance phase but affects the gait cycle by generating increased pressures on the uninjured foot and decreased pressures on the injured foot. With the help of pedobarography, processing suitable orthopedic insoles for the injured foot and interceptive measures for overloading of the normal foot may prevent later consequences of ankle trauma.
Orthopaedics and Traumatology, Mersin City Hospital, Mersin, Turkey.
Orthopaedics and Traumatology, University of Health Sciences, Kecioren Training and Research Hospital, Ankara, Turkey.
Orthopaedics and Traumatology, Baskent University, Yukarı Bahçelievler Mahallesi, Ankara, Turkey.
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