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http://hdl.handle.net/1843/59296
Type: | Artigo de Periódico |
Title: | Biomechanical evaluation with a novel cadaveric model using supination and pronation testing of a lisfranc ligament injury |
Authors: | Emilio Wagner Pablo Wagner Tiago Baumfeld Marcelo Pires Prado Daniel Soares Baumfeld Caio Nery |
Abstract: | Background: Lisfranc joint injuries can be due to direct or indirect trauma and while the precise mechanisms are unknown,twisting or axial force through the foot is a suspected contributor. Cadaveric models are a useful way to evaluate injury patterns and models of fixation, but a frequent limitation is the amount of joint displacement after injury. The purpose of this study was to test a cadaveric model that includes axial load, foot plantarflexion and pronation-supination motion, which could re-create bone diastasis similar to what is seen in subtle Lisfranc injuries. Our hypothesis was that applying pronation and supination motion to a cadaveric model would produce reliable and measurable bone displacements.Methods: Twenty-four fresh-frozen lower leg cadaveric specimens were used. The medial (C1) and intermediate (C2)cuneiforms and the first (M1) and second (M2) metatarsal bones were marked. A complete ligament injury was performed between C1-C2 and C1-M2 in 12 specimens (group 1), and between C1-C2, C1-M2, C1-M1, and C2-M2 in 12 matched specimens (group 2). Foot pronation and supination in addition to an axial load of 400 N was applied to the specimens. A 3D digitizer was used to measure bone distances.Results: After ligament injury, distances changed as follows: C1-C2 increased 3 mm (23%) with supination; C1-M2 increased 4 mm (21%) with pronation (no differences between groups). As expected, distances between C1-M1 and C2-M2 only changed in group 2, increasing 3 mm (14%) and 2 mm (16%), respectively (no differences between pronation and supination).M1-M2 and C2-M1 distances did not reach significant difference for any condition.Conclusions: Pronation or supination in addition to axial load produced measurable bone displacements in a cadaveric modelof Lisfranc injury using sectioned ligaments. Distances M1-M2 and C2-M1 were not reliable to detect injury in this model.Clinical Relevance: This new cadaveric Lisfranc model included foot pronation-supination in addition to axial load delivering measurable bone diastasis. It was a reliable Lisfranc cadaveric model that could be used to test different Lisfranc reconstructions. |
Subject: | Cadaver Ankle Injuries |
language: | eng |
metadata.dc.publisher.country: | Brasil |
Publisher: | Universidade Federal de Minas Gerais |
Publisher Initials: | UFMG |
metadata.dc.publisher.department: | MED - DEPARTAMENTO DE APARELHO LOCOMOTOR |
Rights: | Acesso Aberto |
metadata.dc.identifier.doi: | 10.1177/2473011419898265 |
URI: | http://hdl.handle.net/1843/59296 |
Issue Date: | 2020 |
metadata.dc.url.externa: | https://journals.sagepub.com/doi/10.1177/2473011419898265 |
metadata.dc.relation.ispartof: | Foot & Ankle Orthopaedics |
Appears in Collections: | Artigo de Periódico |
Files in This Item:
File | Description | Size | Format | |
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Biomechanical Evaluation With a Novel pdfa.pdf | 177.75 kB | Adobe PDF | View/Open |
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