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首页> 外文期刊>Foot & Ankle Orthopaedics >Restoration of Tibiofibular Kinematics with a Tricortical Screw or Suture Button Fixation After Syndesmotic Ankle Injuries:
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Restoration of Tibiofibular Kinematics with a Tricortical Screw or Suture Button Fixation After Syndesmotic Ankle Injuries:

机译:股骨下垂踝关节损伤后用三皮质螺钉或缝合按钮固定修复胫腓运动学:

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摘要

Category:Ankle, Sports, TraumaIntroduction/Purpose:Anterior inferior tibiofibular ligament (AITFL), Posterior inferior tibiofibular ligament (PITFL) and Interosseous membrane (IOM) disruption is a predictive measure of residual symptoms after ankle injury. In unstable injuries, the syndesmosis is treated operatively with cortical screw fixation or a suture button apparatus. Biomechanical analyses of suture button versus cortical screw fixation methods show contradicting results regarding suture button integrity and maintenance of fixation. The objective of this study is to quantify tibiofibular joint motion in syndesmotic screw and suture button fixation models compared to the intact ankle.Methods:Five fresh-frozen human cadaveric specimens (mean age 58 yrs.; range 38-73 yrs.) were tested using a 6-degree-of- freedom robotic testing system. The tibia and calcaneus were rigidly fixed to the robotic manipulator and the subtalar joint was fused. The full fibular length was maintained and fibular motion was u...
机译:类别/目的:踝关节,运动,创伤简介/目的:胫骨前下韧带(AITFL),胫骨后下韧带(PITFL)和骨间膜(IOM)破坏是踝关节损伤后残余症状的预测指标。在不稳定的损伤中,可通过皮质螺钉固定或缝合纽扣手术对下颌骨进行手术治疗。缝合纽扣与皮质螺钉固定方法的生物力学分析显示,关于缝合纽扣完整性和固定保持情况的结果相互矛盾。这项研究的目的是量化与完整的踝关节相比在下颌联合螺钉和缝合纽扣固定模型中胫腓关节的运动。方法:测试了五只新鲜冷冻的人尸体标本(平均年龄58岁;范围38-73岁)。使用6自由度机器人测试系统。胫骨和跟骨牢固地固定在机器人操纵器上,距下关节融合。保持腓骨全长,保持腓骨运动。

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