Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons · 2026
Which augmentation is more efficient for ankle lateral ligament repair: A biomecanical study.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Vermorel Pierre-Henri, Testa Rodolphe, Battaglia Enzo, Lintz François, Schwach Maxime, Ronat Margot, Philippot Rémi, Tourne Yves
Аннотация
INTRODUCTION: Augmented repair is recommended in severe cases of ankle instability, but the technique remains debated. This study compared ankle and subtalar joint stability after Broström-Gould (BG) and Broström with inferior extensor retinaculum (IER) augmentation using a 3D opto-electronic protocol.
METHODS: Eighteen cadaveric feet were tested in four conditions: intact, unstable (lateral ankle and subtalar ligaments disinserted), BG, and IER. Three manual tests were applied: anterior drawer (ADT), varus tilt in neutral (VTTN), and in dorsiflexion (VTTF). Ankle and subtalar rotations and ATFL/CFL elongation were recorded.
RESULTS: Both techniques improved ankle and subtalar varus stability as well as ankle rotational stability (p < 0.05). Compared with BG, IER further reduced talus-calcaneus and tibia-calcaneus varus rotation during VTTN and VTTF (p < 0.05), and decreased tibia-talus flexion-extension during ADT (p < 0.05) CONCLUSION: IER provided greater ankle and subtalar varus stability than BG, though both limited motions compared with intact joints.
METHODS: Eighteen cadaveric feet were tested in four conditions: intact, unstable (lateral ankle and subtalar ligaments disinserted), BG, and IER. Three manual tests were applied: anterior drawer (ADT), varus tilt in neutral (VTTN), and in dorsiflexion (VTTF). Ankle and subtalar rotations and ATFL/CFL elongation were recorded.
RESULTS: Both techniques improved ankle and subtalar varus stability as well as ankle rotational stability (p < 0.05). Compared with BG, IER further reduced talus-calcaneus and tibia-calcaneus varus rotation during VTTN and VTTF (p < 0.05), and decreased tibia-talus flexion-extension during ADT (p < 0.05) CONCLUSION: IER provided greater ankle and subtalar varus stability than BG, though both limited motions compared with intact joints.