Biomechanical studies have indicated that the conventional nonanatomic reconstruction techniques for lateral ankle sprain (LAS) tend to restrict subtalar joint motion compared to intact ankle joints. Excessive restriction in subtalar motion may lead to chronic pain, functional difficulties, and development of osteoarthritis (OA). Therefore, various anatomic surgical techniques to reconstruct both the anterior talofibular and calcaneofibular ligaments (CaFL) have been introduced. In this study, ankle joint stability was evaluated using multibody computational ankle joint model to assess two new anatomic reconstruction and three popular nonanatomic reconstruction techniques. An LAS injury, three popular nonanatomic reconstruction models (Watson-Jones, Evans, and Chrisman–Snook) and two common types of anatomic reconstruction models were developed based on the intact ankle model. The stability of ankle in both talocrural and subtalar joint were evaluated under anterior drawer test (150 N anterior force), inversion test (3 N·m inversion moment), internal rotational test (3 N·m internal rotation moment), and the combined loading test (9 N·m inversion and internal moment as well as 1800 N compressive force). Our overall results show that the two anatomic reconstruction techniques were superior to the nonanatomic reconstruction techniques in stabilizing both talocrural and subtalar joints. Restricted subtalar joint motion, which is mainly observed in Watson-Jones and Chrisman–Snook techniques, was not shown in the anatomical reconstructions. Evans technique was beneficial for subtalar joint as it does not restrict subtalar motion, though Evans technique was insufficient for restoring talocrural joint inversion. The anatomical reconstruction techniques best recovered ankle stability.
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June 2018
Research-Article
Comparative Evaluation Between Anatomic and Nonanatomic Lateral Ligament Reconstruction Techniques in the Ankle Joint: A Computational Study
Tserenchimed Purevsuren,
Tserenchimed Purevsuren
Department of Mechanical Engineering,
Kyung Hee University,
Yongin 17104, South Korea
e-mail: Tserenchimed.p@gmail.com
Kyung Hee University,
Yongin 17104, South Korea
e-mail: Tserenchimed.p@gmail.com
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Myagmarbayar Batbaatar,
Myagmarbayar Batbaatar
Department of Mechanical Engineering,
Kyung Hee University,
Yongin 17104, South Korea
e-mail: Miigaa1992@gmail.com
Kyung Hee University,
Yongin 17104, South Korea
e-mail: Miigaa1992@gmail.com
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Batbayar Khuyagbaatar,
Batbayar Khuyagbaatar
Department of Mechanical Engineering,
Kyung Hee University,
Yongin 17104, South Korea
e-mail: kh.batbayar@gmail.com
Kyung Hee University,
Yongin 17104, South Korea
e-mail: kh.batbayar@gmail.com
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Kyungsoo Kim,
Kyungsoo Kim
Department of Applied Mathematics,
Kyung Hee University,
Yongin 17104, South Korea
e-mail: kyungsoo@khu.ac.kr
Kyung Hee University,
Yongin 17104, South Korea
e-mail: kyungsoo@khu.ac.kr
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Yoon Hyuk Kim
Yoon Hyuk Kim
Department of Mechanical Engineering,
Kyung Hee University,
Yongin 17104, South Korea
e-mail: yoonhkim@khu.ac.kr
Kyung Hee University,
Yongin 17104, South Korea
e-mail: yoonhkim@khu.ac.kr
Search for other works by this author on:
Tserenchimed Purevsuren
Department of Mechanical Engineering,
Kyung Hee University,
Yongin 17104, South Korea
e-mail: Tserenchimed.p@gmail.com
Kyung Hee University,
Yongin 17104, South Korea
e-mail: Tserenchimed.p@gmail.com
Myagmarbayar Batbaatar
Department of Mechanical Engineering,
Kyung Hee University,
Yongin 17104, South Korea
e-mail: Miigaa1992@gmail.com
Kyung Hee University,
Yongin 17104, South Korea
e-mail: Miigaa1992@gmail.com
Batbayar Khuyagbaatar
Department of Mechanical Engineering,
Kyung Hee University,
Yongin 17104, South Korea
e-mail: kh.batbayar@gmail.com
Kyung Hee University,
Yongin 17104, South Korea
e-mail: kh.batbayar@gmail.com
Kyungsoo Kim
Department of Applied Mathematics,
Kyung Hee University,
Yongin 17104, South Korea
e-mail: kyungsoo@khu.ac.kr
Kyung Hee University,
Yongin 17104, South Korea
e-mail: kyungsoo@khu.ac.kr
Yoon Hyuk Kim
Department of Mechanical Engineering,
Kyung Hee University,
Yongin 17104, South Korea
e-mail: yoonhkim@khu.ac.kr
Kyung Hee University,
Yongin 17104, South Korea
e-mail: yoonhkim@khu.ac.kr
1Corresponding author.
Manuscript received September 30, 2017; final manuscript received February 12, 2018; published online April 4, 2018. Assoc. Editor: Tammy L. Haut Donahue.
J Biomech Eng. Jun 2018, 140(6): 061009 (8 pages)
Published Online: April 4, 2018
Article history
Received:
September 30, 2017
Revised:
February 12, 2018
Citation
Purevsuren, T., Batbaatar, M., Khuyagbaatar, B., Kim, K., and Kim, Y. H. (April 4, 2018). "Comparative Evaluation Between Anatomic and Nonanatomic Lateral Ligament Reconstruction Techniques in the Ankle Joint: A Computational Study." ASME. J Biomech Eng. June 2018; 140(6): 061009. https://doi.org/10.1115/1.4039576
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