The anatomy of the anterior inferior tibiofibular ligament and its relationship with the Wagstaffe fracture

Fisher, A.C.; Bond, Alistair P.; Philpott, Matthew; Jayatilaka, Malwattage Lara Tania; Lambert, Laura-Ann; Fisher, Lauren P.; Weigelt, Lizzy; Myatt, Darren; Molloy, Andrew; Mason, Lyndon

doi:10.1016/j.fas.2021.01.003

Cited by 3 publications

(5 citation statements)

References 18 publications

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“…Fortunately, the anatomic footprint of the AITFL is very broad and is composed of several separate bands. Studies have shown that its inferior fascicle extends as inferior as 12 mm above the distal tip of the fibula 10. In the same study, the majority of specimens examined exhibited some degree of blending of the AITFL and ATFL fibers.…”

Section: Complicationsmentioning

confidence: 60%

“…Studies have shown that its inferior fascicle extends as inferior as 12 mm above the distal tip of the fibula. 10 In the same study, the majority of specimens examined exhibited some degree of blending of the AITFL and ATFL fibers. A more distal insertion of the AITFL could theoretically lead to increased contact pressure on the talus and potential for chronic pain because of anterolateral impingement.…”

Section: Complicationsmentioning

confidence: 86%

“…Its center is roughly 3 cm above the tip of the fibula and is more proximal than that of the ATFL insertion, which lies closer to 12 mm. 10 This is a limitation of the technique that must be acknowledged, but the clinical importance of this discrepancy is unknown. Fortunately, the anatomic footprint of the AITFL is very broad and is composed of several separate bands.…”

Section: Complicationsmentioning

confidence: 99%

“…In reality, the AITFL insertion lies on Wagstaffe’s tubercle of the fibula. Its center is roughly 3 cm above the tip of the fibula and is more proximal than that of the ATFL insertion, which lies closer to 12 mm 10. This is a limitation of the technique that must be acknowledged, but the clinical importance of this discrepancy is unknown.…”

Section: Complicationsmentioning

confidence: 99%

See 3 more Smart Citations

The “Flying V”: A Novel Construct to Address Concurrent Lateral Ankle and Syndesmotic Instability

Martin

Palumbo

Morris

2022

Techniques in Orthopaedics

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Section: Complicationsmentioning

confidence: 60%

Section: Complicationsmentioning

confidence: 86%

Section: Complicationsmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

See 2 more Smart Citations

The “Flying V”: A Novel Construct to Address Concurrent Lateral Ankle and Syndesmotic Instability

Martin

Palumbo

Morris

2022

Techniques in Orthopaedics

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“…Recently, researchers proposed using the distal fascicle of the anterior tibiofibular ligament (ATiFL) to augment the ATFL and increase postoperative ankle joint stability ( Vega et al, 2020 ; Tian et al, 2022 ; Xiao et al, 2022 ). The ATiFL distal fascicle (ATiFL-DF) is situated at the tibiofibular syndesmosis, also called the Bassett ligament ( Fisher et al, 2021 ). The ligament is inside the joint capsule and shares potential anatomical and biomechanical similarities with the ATFL ( Vega et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Chronic lateral ankle instability using anterior tibiofibular ligament distal fascicle transfer augmentation repair: an anatomical, biomechanical, and histological study

Wang,

Yang,

You

et al. 2024

Front. Bioeng. Biotechnol.

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Background: The transfer of the anterior tibiofibular ligament distal fascicle (ATiFL-DF) for the augmentation repair of the anterior talofibular ligament (ATFL) shows potential as a surgical technique. However, evidences on the benefits and disadvantages of this method in relation to ankle joint function are lacking.Purpose: This study aimed to provide comprehensive experimental data to validate the feasibility of ATiFL-DF transfer augmentation repair of the ATFL.Methods: This study included 50 embalmed ankle specimens to measure various morphological features, such as length, width, thickness, and angle, for evaluating similarities between the ATiFL-DF and ATFL. Furthermore, 24 fresh-frozen ankle specimens were examined for biomechanical testing of the ATiFL-DF transfer augmented repair of the ATFL. Finally, 12 pairs of ATiFL-DF and ATFL tissues from fresh-frozen ankle specimens were treated with gold chloride staining to analyze mechanoreceptor densities.Results: Anatomical studies found that the lengths and thicknesses of the ATFL and ATiFL-DF are similar. Biomechanical outcomes showed that performing ATiFL-DF transfer for ATFL repair can improve the stability of the talus and ankle joints. This is evident from the results of the anterior drawer, axial load, and ultimate failure load tests. However, performing ATiFL-DF transfer may compromise the stability of the distal tibiofibular joint, based on the Cotton and axial load tests at an external rotation of 5°. Analysis of the histological findings revealed that mechanoreceptor densities for four types of mechanoreceptors were comparable between the ATiFL-DF and ATFL groups.Conclusion: ATiFL-DF transfer is a viable method for augmenting ATFL repair. This technique helps to improve the stability of the talus and ankle joints while compensating for proprioception loss. Although ATiFL-DF transfer augmented repair of the ATFL may negatively affect the stability of the distal tibiofibular joint, this procedure can enhance the stability of the talus and ankle joints.

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Syndesmotic ankle fractures

Rammelt,

Gonzalez Salas,

Marx

2024

Fuß & Sprunggelenk

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The anatomy of the anterior inferior tibiofibular ligament and its relationship with the Wagstaffe fracture

Cited by 3 publications

References 18 publications

The “Flying V”: A Novel Construct to Address Concurrent Lateral Ankle and Syndesmotic Instability

The “Flying V”: A Novel Construct to Address Concurrent Lateral Ankle and Syndesmotic Instability

Chronic lateral ankle instability using anterior tibiofibular ligament distal fascicle transfer augmentation repair: an anatomical, biomechanical, and histological study

Syndesmotic ankle fractures

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