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Archives of Orthopaedic and Trauma Surgery

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01-12-2005 | Case Report

Dynamic function of the fibula. Gait analysis evaluation of three different parts of the shank after fibulectomy: proximal, middle and distal

Authors: Murat Bozkurt, Güneş Yavuzer, Ergin Tönük, Behzat Kentel

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 10/2005

Abstract

The purpose of this case study was to investigate the dynamic features of fibular movement to gait pattern by analyzing the gait of individuals with three different parts of the fibula resected. Gait analyses revealed that proximal fibula resection impaired knee stability, whereas distal fibula resection disturbed ankle kinematics significantly. Except a mild secondary quadriceps weakness, middle fibula resection did not cause a significant biomechanical disturbance on gait.

Ahl T, Dalen N, Lundberg A, Selvik G (1987) Mobility of the ankle mortise. Acta Orthop Scand 58:401–402PubMed

Anderson AF, Green NE (1991) Residual functional deficit after partial fibulectomy for bone graft. Clin Orthop 267:137–140PubMed

Apkarian J, Naumann S, Cairns B (1989) A three-dimensional kinematic and dynamic model of the lower limb. J Biomech 22:143–155CrossRefPubMed

Babhulkar SS, Panda KC, Babhulkar S (1957) Ankle instability of the donor site following removal of vascularized fibula bone graft. J Bone Joint Surg 77-B:258–261

Barnett CH, Napier JR (1952) The axis of the rotation at the ankle joint in man. Its influence upon the form of the talus and the mobility of the fibula. J Anat 86:1PubMed

Bozkurt M, Yilmaz E, Atlihan D, Tekdemir I, Havitcioglu H, Gunal I (2003) Proximal tibiofibular joint—an anatomic study. Clin Orthop 403:136–140

Close JR (1956) Some applications of the functional anatomy of the ankle joint. J Bone Joint Surg 38-A:761–781PubMed

Curtis MJ, Michelson JD, Urquhart MW, Byank RP, Jinnah RH (1992) Tibiotalar contact and fibular malunion in ankle fractures. Acta Orthop Scand 63(3):326–329PubMed

Goh JC, Mech AM, Lee EH, Ang EJ, Bayon P, Pho RW (1992) Biomechanical study on the load-bearing characteristics of the fibula and the effects of fibular resection. Clin Orthop 279:223–228PubMed

10.

Gore DR, Gardner GM, Sepic SB, Mollinger LA, Murray MP (1987) Function following partial fibulectomy. Clin Orthop 220:206–210PubMed

11.

Kärrholm J, Hansson LI, Selvik G (1985) Mobility of the lateral malleolus. Acta Orthop Scand 56:479–483PubMedCrossRef

12.

Lambert KL (1971) The weight bearing function of the fibula. A strain gauge study. J Bone Joint Surg 53-A:507–513

13.

Lee EH, Goh JCH, Helm R, Pho RWH (1990) Donor site morbidity following resection of the fibula. J Bone Joint Surg 72-B:129–131

14.

Lundberg A (1989) Kinematics of the ankle and foot—in vivo roentgen stereophotogrammetry. Acta Orthop Scand Suppl 223:1–24

15.

Makin M (1965) Tibio-fibular relationships in paralysed limbs. J Bone Joint Surg 47B:500

16.

Ogden JA (1974) The anatomy and function of the proximal tibiofibular joint. Clin Orthop 101:188–191

17.

Pacelli LL, Gillard J, McLoughlin SW, Buehler MJ (2003) A biomechanical analysis of donor-site ankle instability following free fibular graft harvest. J Bone Joint Surg 85-A:597–603PubMed

18.

Perry J (1992) Gait analysis: normal and pathological function. McGraw-Hill, New York

19.

Scranton PE, McMaster JH, Kelly E (1976) Dynamic fibular function—a new concept. Clin Orthop 118:76–81PubMed

20.

Shpitzer T, Neligan P, Boyd B, Gullane P, Gur E, Freeman J (1997) Leg morbidity and function following fibular free flap harvest. Ann Plast Surg 38:461–464CrossRef

21.

Spivack B (1995) Evaluation and management of gait disorders. Marcel Dekker, New York

22.

Thompson C (1957) Congenital absence of the fibula. J Bone Joint Surg 39-A:1229PubMed

23.

Thordarson DB, Motamed S, Hedman T, Ebramzadeh E, Bakshian S (1997) The effect of fibular malreduction on contact pressures in an ankle fracture malunion model. J Bone Joint Surg 79-A:1809–1815

24.

Wang Q, Whittle M, Cunnigham J, Mimeche C, Kenwright J (1996) Fibula and its ligaments in load transmission and ankle joint stability. Clin Orthop 330:261–270CrossRefPubMed

25.

Weinert CR, McMaster JH, Ferguson RJ (1973) Dynamic function of the human fibula. Am J Anat 138:145–149CrossRefPubMed

26.

Woodburne R (1957) Essentials of human anatomy. Oxford University Press, New York

Title: Dynamic function of the fibula. Gait analysis evaluation of three different parts of the shank after fibulectomy: proximal, middle and distal
Authors: Murat Bozkurt
Güneş Yavuzer
Ergin Tönük
Behzat Kentel
Publication date: 01-12-2005
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 10/2005
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-005-0054-9

At a glance: The STEP trials

Springer Medicine

Dynamic function of the fibula. Gait analysis evaluation of three different parts of the shank after fibulectomy: proximal, middle and distal

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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