Biomechanical Effect of Ankle Ligament Injury in AO Type 44B2.1 Lateral Malleolus Fractures After Lateral Plate Fixation A Finite Element Analysis

dc.authoridMUTU, HALIL BURAK/0000-0002-0679-5874
dc.authoridOZER, Alaettin/0000-0002-3499-1215
dc.contributor.authorOlcar, Haci Ali
dc.contributor.authorMutu, Halil Burak
dc.contributor.authorOzer, Alaettin
dc.contributor.authorKuru, Tolgahan
dc.contributor.authorAydin, Davut
dc.contributor.authorKorkmaz, Murat
dc.date.accessioned2025-01-27T20:41:26Z
dc.date.available2025-01-27T20:41:26Z
dc.date.issued2024
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground: Distal fibula fractures at the ankle level are common and are usually accompanied by ligament injuries. This study aims to evaluate the effects of ankle ligament ruptures on ankle joints, fracture instability, and plate stress after distal fibula fracture fixed with a plate created by finite element analysis modeling and loading applied to ligament rupture models that may accompany this fracture. Methods: A finite element model consisting of three-dimensional fibula, tibia, foot bones, and ankle ligaments was designed to investigate the effects of ligament injuries accompanying plate-detected AO type 44B2.1 fractures on fracture detection, fixation material, and ankle joints. Then, the results were evaluated by modeling ligament rupture in six different ways. Results: In the modeling where the deltoid and talofibular ligaments are broken together, instability is highest in the ankle (2.31 mm) and fracture line (0.15 mm). The rupture of the anterior and posterior tibiofibular ligaments associated with syndesmosis caused less instability in the fracture and ankle than the single-ligament rupture models of both the deltoid and talofibular ligaments. Conclusions: In the finite element modeling of AO type 44B2.1 fractures detected with plate, the importance and potential effects of often-overlooked ankle ligament injuries are pointed out. Note that when treating ankle injuries, the ankle should be treated as a whole, with both bone and soft tissue. In some cases, the fracture may represent the visible tip of the iceberg. (J Am Podiatr Med Assoc 114(4), 2024; doi:10.7547/22-214)
dc.identifier.doi10.7547/22-214
dc.identifier.issn8750-7315
dc.identifier.issn1930-8264
dc.identifier.issue4
dc.identifier.pmid37647298
dc.identifier.scopus2-s2.0-85203418245
dc.identifier.scopusqualityQ3
dc.identifier.urihttps://doi.org/10.7547/22-214
dc.identifier.urihttps://hdl.handle.net/20.500.12428/24140
dc.identifier.volume114
dc.identifier.wosWOS:001319377500017
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherAmer Podiatric Med Assoc
dc.relation.ispartofJournal of The American Podiatric Medical Association
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectLauge-Hansen Classification
dc.subjectSyndesmosis
dc.subjectMechanism
dc.subjectAnatomy
dc.subjectAdults
dc.titleBiomechanical Effect of Ankle Ligament Injury in AO Type 44B2.1 Lateral Malleolus Fractures After Lateral Plate Fixation A Finite Element Analysis
dc.typeArticle

Dosyalar