Fibula and Its Ligaments in Load Transmission and Ankle Joint Stability

Wang, Qian; Whittle, Michael W.; Cunningham, J L; Kenwright, J

doi:10.1097/00003086-199609000-00034

Cited by 126 publications

(73 citation statements)

References 16 publications

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“…To confirm this and therefore derive direct indications for the rehabilitation program, we must know the magnitude and distribution of loads acting on the tibia-fibula complex during motion, but these still are unclear. A few in vitro studies [13,22,34,38] suggest under physiologic loads, the tibia and fibula are loaded principally in compression with the fibula bearing between 1% to 30% of the total load, which is consistent with the fibulaCSA/totalCSA ratio we measured. However, these studies could not account for muscle forces.…”

Section: Discussionsupporting

confidence: 86%

See 1 more Smart Citation

Tibia Adaptation after Fibula Harvesting: An in Vivo Quantitative Study

Taddei

Balestri

Rimondi

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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Absence of the fibula after harvesting to reconstruct an upper-limb segment increases loads on the donor-side tibia and thereby provides a unique opportunity to analyze the bone adaptation process in humans. We therefore quantified densitometric and morphologic changes of the donor-side tibia in three young patients (ages 8, 13, 16 years), on the basis of computed tomography (CT) examinations of both legs (one preoperatively and two postoperatively). The range of final followup was 27-43 months. Three-dimensional models of shank bones were generated from CT data and used to measure crosssectional area, diaphyseal cortical thickness, and crosssectional moment of inertia. In addition, density of the newly formed bone was evaluated. The donor-side tibia showed morphologic and density adaptation with time.

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Section: Discussionsupporting

confidence: 86%

“…resulting from fibula removal before complete tibia adaptation, as the fibula reportedly has a weightbearing function (1% to 30% of the total load) [13,22,34,38]. However, the process and timing of tibial adaptation to changes in the biomechanical environment in humans is not completely understood.…”

Section: Introductionmentioning

confidence: 99%

Tibia Adaptation after Fibula Harvesting: An in Vivo Quantitative Study

Taddei

Balestri

Rimondi

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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“…The medial malleolus is the medial head of the tibia, and the lateral malleolus is the lateral head of the fibula, and both articulate with the talus. The tibia is the second largest bone in the body and it bears a significantly larger percentage of the body's weight when standing than the fibula [33]. Therefore, it is possible that FTA transmissibility was higher when measured at the medial malleolus given the increased weight transmitted through the tibia (medial malleolus) than the fibula (lateral malleolus).…”

Section: Discussionmentioning

confidence: 99%

Study of the biodynamic response of the foot to vibration exposure

Goggins

Godwin

Larivière

et al. 2016

OER

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Abstract.BACKGROUND: Exposure to foot-transmitted vibration (FTV) has been linked to injury; however, the biodynamic response of the foot to FTV has not been quantified. OBJECTIVE: The objective was to measure vibration transmissibility from the floor-to-ankle, and the floor-to-metatarsal, during exposure to FTV while standing, and to determine if FTV exposure frequency, or participant mass or arch index (AI) influence the transmission of FTV through the foot. METHODS: Participants' AI was measured. Four ADXL326, tri-axial accelerometers were utilized to measure vibration on the platform medial to distal head of first metatarsal, on the distal head of first metatarsal, on the platform paralleling the medial malleolus, and on the lateral malleolus. Participants were randomly exposed to FTV at 25 Hz, 30 Hz, 35 Hz, 40 Hz, 45 Hz, and 50 Hz for 45 seconds. CONCLUSIONS:The greatest transmissibility magnitude measured at the metatarsal and ankle occurred at 50 Hz and 25-30 Hz respectively, suggesting the formation of a local resonance at each location.

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“…This kind of fracture would be the result of opposite contemporary tractions : one towards the inside by interosseous ligaments and the other towards the outside of the malleolar while walking. Wang [3] on the other hand demonstrated that the Fibula receives 10 to 30% of the weight charge supported by the foot in the standing position. He suggested that, while in a walking position, stronger efforts tend to exagerate the charge over the distal part of the Fibula.…”

Section: Discussionmentioning

confidence: 99%