PMID- 18560805
OWN - NLM
STAT- MEDLINE
DCOM- 20081021
LR  - 20211020
IS  - 0942-2056 (Print)
IS  - 0942-2056 (Linking)
VI  - 16
IP  - 8
DP  - 2008 Aug
TI  - Biomechanical evaluation against calcaneofibular ligament repair in the Brostrom 
      procedure: a cadaveric study.
PG  - 781-6
LID - 10.1007/s00167-008-0557-3 [doi]
AB  - The modified Brostrom procedure is commonly recommended for reconstruction of the 
      anterior talofibular ligament (ATF) and calcaneofibular ligament (CF) with an 
      advancement of the inferior retinaculum. However, some surgeons perform the 
      modified Bostrom procedure with an semi-single ATF ligament reconstruction and 
      advancement of the inferior retinaculum for simplicity. This study evaluated the 
      initial stability of the modified Brostrom procedure and compared a two ligaments 
      (ATF + CF) reconstruction group with a semi-single ligament (ATF) reconstruction 
      group. Sixteen paired fresh frozen cadaveric ankle joints were used in this 
      study. The ankle joint laxity was measured on the plane radiographs with 150 N 
      anterior drawer force and 150 N varus stress force. The anterior displacement 
      distances and varus tilt angles were measured before and after cutting the ATF 
      and CF ligaments. A two ligaments (ATF + CF) reconstruction with an advancement 
      of the inferior retinaculum was performed on eight left cadaveric ankles, and an 
      semi-single ligament (ATF) reconstruction with an advancement of the inferior 
      retinaculum was performed on eight right cadaveric ankles. The ankle instability 
      was rechecked after surgery. The decreases in instability of the ankle after 
      surgery were measured and the difference in the decrease was compared using a 
      Mann-Whitney U test. The mean decreases in anterior displacement were 3.4 and 4.0 
      mm in the two ligaments reconstruction and semi-single ligament reconstruction 
      groups, respectively. There was no significant difference between the two groups 
      (P = 0.489). The mean decreases in the varus tilt angle in the two ligaments 
      reconstruction and semi-single ligament reconstruction groups were 12.6 degrees 
      and 12.2 degrees , respectively. There was no significant difference between the 
      two groups (P = 0.399). In this cadaveric study, a substantial level of initial 
      stability can be obtained using an anatomical reconstruction of the anterior 
      talofibular ligament only and reinforcement with the inferior retinaculum. The 
      modified Brostrom procedure with a semi-single ligament (Anterior talofibular 
      ligament) reconstruction with an advancement of the inferior retinaculum can 
      provide as much initial stability as the two ligaments (Anterior talofibular 
      ligament and calcaneofibular ligament) reconstruction procedure.
FAU - Lee, Kyung-Tai
AU  - Lee KT
AD  - Department of Foot and Ankle Surgery, Eulji University School of Medicine, Seoul, 
      South Korea.
FAU - Lee, Jung Il
AU  - Lee JI
FAU - Sung, Ki Sun
AU  - Sung KS
FAU - Kim, J-Young
AU  - Kim JY
FAU - Kim, Eung Soo
AU  - Kim ES
FAU - Lee, Sang-Heon
AU  - Lee SH
FAU - Wang, Joon Ho
AU  - Wang JH
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20080617
PL  - Germany
TA  - Knee Surg Sports Traumatol Arthrosc
JT  - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
JID - 9314730
SB  - IM
MH  - Adult
MH  - Aged
MH  - Ankle Joint/diagnostic imaging/physiology/*surgery
MH  - Biomechanical Phenomena
MH  - Cadaver
MH  - Female
MH  - Humans
MH  - Joint Instability/physiopathology/surgery
MH  - Ligaments/*surgery
MH  - Male
MH  - Middle Aged
MH  - Orthopedic Procedures/*methods
MH  - Radiography
MH  - Range of Motion, Articular/physiology
MH  - Stress, Mechanical
EDAT- 2008/06/19 09:00
MHDA- 2008/10/22 09:00
CRDT- 2008/06/19 09:00
PHST- 2007/08/03 00:00 [received]
PHST- 2008/04/22 00:00 [accepted]
PHST- 2008/06/19 09:00 [pubmed]
PHST- 2008/10/22 09:00 [medline]
PHST- 2008/06/19 09:00 [entrez]
AID - 10.1007/s00167-008-0557-3 [doi]
PST - ppublish
SO  - Knee Surg Sports Traumatol Arthrosc. 2008 Aug;16(8):781-6. doi: 
      10.1007/s00167-008-0557-3. Epub 2008 Jun 17.