[Anatomical and Biomechanical Aspects of Total Ankle Replacement]

Overview

Journal Orthopade

Specialty Orthopedics

Date 2006 Mar 25

PMID 16557394

Citations 4

Authors

M Knupp

V Valderrabano

B Hintermann

Affiliations

Soon will be listed here.

Abstract

The success of total ankle replacement highly depends on how successfully the physiological kinematics are maintained or reconstructed. Normal kinematics of the ankle joint can be replicated by designing an implant that is as close as possible to the normal bony anatomy, aligning the ankle and balancing the ligaments. Mimicking normal kinematics and kinetics of a healthy ankle joint will consequently decrease damaging joint contact stress forces and stress forces on the surrounding soft tissue, which may cause wear, implant failure, and pain. This article summarizes the anatomical and biomechanical basics that are required in total ankle replacement.

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References

HICKS J . The mechanics of the foot. I. The joints. J Anat. 1953; 87(4):345-57. PMC: 1244617. View

Hintermann B, Nigg B, Sommer C, Cole G . Transfer of movement between calcaneus and tibia in vitro. Clin Biomech (Bristol). 2013; 9(6):349-55. DOI: 10.1016/0268-0033(94)90064-7. View

Siegler S, Chen J, Schneck C . The three-dimensional kinematics and flexibility characteristics of the human ankle and subtalar joints--Part I: Kinematics. J Biomech Eng. 1988; 110(4):364-73. DOI: 10.1115/1.3108455. View

McCullough C, Burge P . Rotatory stability of the load-bearing ankle. An experimental study. J Bone Joint Surg Br. 1980; 62-B(4):460-4. DOI: 10.1302/0301-620X.62B4.7430225. View

Baumhauer J, Alosa D, Renstrom A, Trevino S, Beynnon B . A prospective study of ankle injury risk factors. Am J Sports Med. 1995; 23(5):564-70. DOI: 10.1177/036354659502300508. View

BARNETT C, NAPIER J . The axis of rotation at the ankle joint in man; its influence upon the form of the talus and the mobility of the fibula. J Anat. 1952; 86(1):1-9. PMC: 1273922. View

Milner C, Soames R . The medial collateral ligaments of the human ankle joint: anatomical variations. Foot Ankle Int. 1998; 19(5):289-92. DOI: 10.1177/107110079801900504. View

Valderrabano V, Hintermann B, Nigg B, Stefanyshyn D, Stergiou P . Kinematic changes after fusion and total replacement of the ankle: part 1: Range of motion. Foot Ankle Int. 2004; 24(12):881-7. DOI: 10.1177/107110070302401202. View

Rasmussen O, Boe S . Deltoid ligament. Functional analysis of the medial collateral ligamentous apparatus of the ankle joint. Acta Orthop Scand. 1983; 54(1):36-44. DOI: 10.3109/17453678308992867. View

10.

Boss A, Hintermann B . Anatomical study of the medial ankle ligament complex. Foot Ankle Int. 2002; 23(6):547-53. DOI: 10.1177/107110070202300612. View

11.

Valderrabano V, Hintermann B, Nigg B, Stefanyshyn D, Stergiou P . Kinematic changes after fusion and total replacement of the ankle: part 2: Movement transfer. Foot Ankle Int. 2004; 24(12):888-96. DOI: 10.1177/107110070302401203. View

12.

Hintermann B, Nigg B . In vitro kinematics of the axially loaded ankle complex in response to dorsiflexion and plantarflexion. Foot Ankle Int. 1995; 16(8):514-8. DOI: 10.1177/107110079501600811. View

13.

Knupp M, Ledermann H, Magerkurth O, Hinterman B . The surgical tibiotalar angle: a radiologic study. Foot Ankle Int. 2005; 26(9):713-6. DOI: 10.1177/107110070502600909. View

14.

Hintermann B, Sommer C, Nigg B . Influence of ligament transection on tibial and calcaneal rotation with loading and dorsi-plantarflexion. Foot Ankle Int. 1995; 16(9):567-71. DOI: 10.1177/107110079501600910. View

15.

Leardini A, OConnor J, Catani F, Giannini S . A geometric model of the human ankle joint. J Biomech. 1999; 32(6):585-91. DOI: 10.1016/s0021-9290(99)00022-6. View

16.

Renstrom P, Wertz M, Incavo S, Pope M, Ostgaard H, Arms S . Strain in the lateral ligaments of the ankle. Foot Ankle. 1988; 9(2):59-63. DOI: 10.1177/107110078800900201. View

17.

Hvid I, Rasmussen O, Jensen N, Nielsen S . Trabecular bone strength profiles at the ankle joint. Clin Orthop Relat Res. 1985; (199):306-12. View

18.

Harper M . Deltoid ligament: an anatomical evaluation of function. Foot Ankle. 1987; 8(1):19-22. DOI: 10.1177/107110078700800104. View

19.

Valderrabano V, Hintermann B, Nigg B, Stefanyshyn D, Stergiou P . Kinematic changes after fusion and total replacement of the ankle: part 3: Talar movement. Foot Ankle Int. 2004; 24(12):897-900. DOI: 10.1177/107110070302401204. View

20.

Valderrabano V, Hintermann B, Dick W . Scandinavian total ankle replacement: a 3.7-year average followup of 65 patients. Clin Orthop Relat Res. 2004; (424):47-56. View