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The Archives of Bone and Joint Surgery، جلد ۱۰، شماره ۴، صفحات ۳۴۷-۳۵۲
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عنوان انگلیسی Does Sectioning and Then Repairing of the Calcaneofibular Ligament at Subtalar Approach Lead to Residual Lateral Ankle Instability?
چکیده انگلیسی مقاله Background: The calcaneofibular ligament is cut to increase vision in surgical field in minimally invasive surgery of displaced intraarticular calcaneus fractures with subtalar incision. We aimed to investigate whether this causes talar tilt instability in ankle stress radiographs due to the calcaneofibular ligament deficiency in postoperative period.Methods: The files of 38 patients who were operated with the diagnosis of displaced calcaneus fracture between 2013 and 2018 were examined retrospectively. All the cases underwent with subtalar approach and the calcaneofibular ligament was repaired after the operation. The age, sex, injury mechanism, follow-up length, type of fracture by the Sanders classification, preoperative and postoperative Bohler’s and Gissane’s angle measurements, talar tilt measurements of intact and fractured side, postoperative calcaneal length, calcaneal height and calcaneal width of the cases were recorded. The obtained data were evaluated statistically. Results: 31 (81.6%) of the cases were men, seven (18.4%) were women. The average age was 31.92±7.95 years. The average follow-up time was 15.82±3.33 months. The preoperative Bohler’s angle was 14.16±3.67 degree, while the postoperative Bohler’s angle was 31.53±4.60 degree (P< 0.05). The average talar tilt was 0.96±0.87 degrees on the intact side and 1.19±1.12 degrees on the fractured side (P:0.001). Although the talar tilt values were statistically higher on the fractured side than the intact side, no radiological instability finding was found in any case. The average postoperative Gissane’s angles were 126.45±6.69 degrees. The calcaneal length (P:0.665), calcaneal width (P:0.212) and calcaneal height (P:0.341) were statistically similar between the postoperative fractured foot and intact foot.Conclusion: Sectioning of the calcaneofibular ligament in the surgical treatment with subtalar approach does not cause lateral ankle instability in stress radiographs but may cause laxity. Possible postoperative lateral ankle injuries can be prevented by ankle proprioception exercises.Level of evidence: III
کلیدواژه‌های انگلیسی مقاله ankle instability, calcaneal fracture, calcaneofibular ligament, sinus tarsi approach, subtalar approach
نویسندگان مقاله | Ali Yüce
Department of Orthopedic and Traumatology, Prof. Dr. Cemil Taşçıoğlu City Hospital, Istanbul, Turkey


| Abdulhamit Mısır
Department of Orthopedic and Traumatology, Medicana International Istanbul Hospital, Istanbul, Turkey


| Bülent Karslıoğlu
Department of Orthopedic and Traumatology, Prof. Dr. Cemil Taşçıoğlu City Hospital, Istanbul, Turkey


| MUSTAFA YERLİ
Department of Orthopedic and Traumatology, Prof. Dr. Cemil Taşcıoğlu City Hospital, Istanbul, TURKEY


| Mustafa Yerli
Department of Orthopedic and Traumatology, Prof. Dr. Cemil Taşçıoğlu City Hospital, Istanbul, Turkey


| Yunus Imren
Department of Orthopedic and Traumatology, Prof. Dr. Cemil Taşçıoğlu City Hospital, Istanbul, Turkey
نشانی اینترنتی https://abjs.mums.ac.ir/article_18657.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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