Cargando…

The Location of the Fibular Tunnel for Anatomically Accurate Reconstruction of the Lateral Ankle Ligament: A Cadaveric Study

We aimed to describe the location of fibular footprint of each anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL), as well as their common origin in relation to bony landmarks of the fibula in order to determine the location of the fibular tunnel. In 105 ankle specimens, the cen...

Descripción completa

Detalles Bibliográficos
Autores principales: Park, Jeong-Hyun, Kwon, Hyung-Wook, Kim, Digud, Park, Kwang-Rak, Lee, Mijeong, Choi, Yu-Jin, Cho, Jaeho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7997753/
https://www.ncbi.nlm.nih.gov/pubmed/33791364
http://dx.doi.org/10.1155/2021/5575524
_version_ 1783670397720330240
author Park, Jeong-Hyun
Kwon, Hyung-Wook
Kim, Digud
Park, Kwang-Rak
Lee, Mijeong
Choi, Yu-Jin
Cho, Jaeho
author_facet Park, Jeong-Hyun
Kwon, Hyung-Wook
Kim, Digud
Park, Kwang-Rak
Lee, Mijeong
Choi, Yu-Jin
Cho, Jaeho
author_sort Park, Jeong-Hyun
collection PubMed
description We aimed to describe the location of fibular footprint of each anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL), as well as their common origin in relation to bony landmarks of the fibula in order to determine the location of the fibular tunnel. In 105 ankle specimens, the center of the footprints of the ATFL and CFL (cATFL and cCFL, respectively) and the intersection point of their origin (intATFL-CFL) were investigated, and the distances from selected bony landmarks (the articular tip (AT) and the inferior tip (IT) of the fibula) were measured. Forty-two (40%) specimens had single-bundle ATFL, and 63 (60%) had double-bundle patterns. The distance between intATFL-CFL and IT was 12.0 ± 2.5 mm, and a significant difference was observed between the two groups (p = 0.001). Moreover, the ratio of the intATFL-CFL location based on the anterior fibular border for all cadavers was 0.386. The present study suggests a reference ratio that can help surgeons locate the fibular tunnel for a more anatomically accurate reconstruction of the lateral ankle ligament. Also, it may be necessary to make a difference in the location of the fibular tunnel according to the number of ATFL bundles during surgery.
format Online
Article
Text
id pubmed-7997753
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-79977532021-03-30 The Location of the Fibular Tunnel for Anatomically Accurate Reconstruction of the Lateral Ankle Ligament: A Cadaveric Study Park, Jeong-Hyun Kwon, Hyung-Wook Kim, Digud Park, Kwang-Rak Lee, Mijeong Choi, Yu-Jin Cho, Jaeho Biomed Res Int Research Article We aimed to describe the location of fibular footprint of each anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL), as well as their common origin in relation to bony landmarks of the fibula in order to determine the location of the fibular tunnel. In 105 ankle specimens, the center of the footprints of the ATFL and CFL (cATFL and cCFL, respectively) and the intersection point of their origin (intATFL-CFL) were investigated, and the distances from selected bony landmarks (the articular tip (AT) and the inferior tip (IT) of the fibula) were measured. Forty-two (40%) specimens had single-bundle ATFL, and 63 (60%) had double-bundle patterns. The distance between intATFL-CFL and IT was 12.0 ± 2.5 mm, and a significant difference was observed between the two groups (p = 0.001). Moreover, the ratio of the intATFL-CFL location based on the anterior fibular border for all cadavers was 0.386. The present study suggests a reference ratio that can help surgeons locate the fibular tunnel for a more anatomically accurate reconstruction of the lateral ankle ligament. Also, it may be necessary to make a difference in the location of the fibular tunnel according to the number of ATFL bundles during surgery. Hindawi 2021-03-18 /pmc/articles/PMC7997753/ /pubmed/33791364 http://dx.doi.org/10.1155/2021/5575524 Text en Copyright © 2021 Jeong-Hyun Park et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Park, Jeong-Hyun
Kwon, Hyung-Wook
Kim, Digud
Park, Kwang-Rak
Lee, Mijeong
Choi, Yu-Jin
Cho, Jaeho
The Location of the Fibular Tunnel for Anatomically Accurate Reconstruction of the Lateral Ankle Ligament: A Cadaveric Study
title The Location of the Fibular Tunnel for Anatomically Accurate Reconstruction of the Lateral Ankle Ligament: A Cadaveric Study
title_full The Location of the Fibular Tunnel for Anatomically Accurate Reconstruction of the Lateral Ankle Ligament: A Cadaveric Study
title_fullStr The Location of the Fibular Tunnel for Anatomically Accurate Reconstruction of the Lateral Ankle Ligament: A Cadaveric Study
title_full_unstemmed The Location of the Fibular Tunnel for Anatomically Accurate Reconstruction of the Lateral Ankle Ligament: A Cadaveric Study
title_short The Location of the Fibular Tunnel for Anatomically Accurate Reconstruction of the Lateral Ankle Ligament: A Cadaveric Study
title_sort location of the fibular tunnel for anatomically accurate reconstruction of the lateral ankle ligament: a cadaveric study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7997753/
https://www.ncbi.nlm.nih.gov/pubmed/33791364
http://dx.doi.org/10.1155/2021/5575524
work_keys_str_mv AT parkjeonghyun thelocationofthefibulartunnelforanatomicallyaccuratereconstructionofthelateralankleligamentacadavericstudy
AT kwonhyungwook thelocationofthefibulartunnelforanatomicallyaccuratereconstructionofthelateralankleligamentacadavericstudy
AT kimdigud thelocationofthefibulartunnelforanatomicallyaccuratereconstructionofthelateralankleligamentacadavericstudy
AT parkkwangrak thelocationofthefibulartunnelforanatomicallyaccuratereconstructionofthelateralankleligamentacadavericstudy
AT leemijeong thelocationofthefibulartunnelforanatomicallyaccuratereconstructionofthelateralankleligamentacadavericstudy
AT choiyujin thelocationofthefibulartunnelforanatomicallyaccuratereconstructionofthelateralankleligamentacadavericstudy
AT chojaeho thelocationofthefibulartunnelforanatomicallyaccuratereconstructionofthelateralankleligamentacadavericstudy
AT parkjeonghyun locationofthefibulartunnelforanatomicallyaccuratereconstructionofthelateralankleligamentacadavericstudy
AT kwonhyungwook locationofthefibulartunnelforanatomicallyaccuratereconstructionofthelateralankleligamentacadavericstudy
AT kimdigud locationofthefibulartunnelforanatomicallyaccuratereconstructionofthelateralankleligamentacadavericstudy
AT parkkwangrak locationofthefibulartunnelforanatomicallyaccuratereconstructionofthelateralankleligamentacadavericstudy
AT leemijeong locationofthefibulartunnelforanatomicallyaccuratereconstructionofthelateralankleligamentacadavericstudy
AT choiyujin locationofthefibulartunnelforanatomicallyaccuratereconstructionofthelateralankleligamentacadavericstudy
AT chojaeho locationofthefibulartunnelforanatomicallyaccuratereconstructionofthelateralankleligamentacadavericstudy