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

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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.

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References

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

    PubMed  CAS  Google Scholar 

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

    PubMed  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  4. 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

    Google Scholar 

  5. 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 86:1

    PubMed  CAS  Google Scholar 

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

    Google Scholar 

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

    PubMed  CAS  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  9. 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 279:223–228

    PubMed  Google Scholar 

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

    PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

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

    Google Scholar 

  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

    Google Scholar 

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

    Google Scholar 

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

    Google Scholar 

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

    Google Scholar 

  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:597–603

    PubMed  Google Scholar 

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

    Google Scholar 

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

    PubMed  Google Scholar 

  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 38:461–464

    Article  Google Scholar 

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

    Google Scholar 

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

    PubMed  CAS  Google Scholar 

  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

    Google Scholar 

  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 330:261–270

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

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

    Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedics and Traumatology and A.B. Demet Hospital, Emergency Aid and Traumatology Hospital, Ankara, Turkey

    Murat Bozkurt

  2. Department of Physical Medicine and Rehabilitation, Ankara University Medical School, Sıhhiye, Ankara, Turkey

    Güneş Yavuzer

  3. Department of Mechanical Engineering, Middle East Technical University, 06531, Ankara, Turkey

    Ergin Tönük & Behzat Kentel

  4. Tirebolu Sokak, Omrumce Apt., 27/18, 06550, Yukariayrancı, Ankara, Turkey

    Murat Bozkurt

Authors
  1. Murat Bozkurt
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  2. Güneş Yavuzer
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  3. Ergin Tönük
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  4. Behzat Kentel
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Correspondence to Murat Bozkurt.

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Bozkurt, M., Yavuzer, G., Tönük, E. et al. Dynamic function of the fibula. Gait analysis evaluation of three different parts of the shank after fibulectomy: proximal, middle and distal. Arch Orthop Trauma Surg 125, 713–720 (2005). https://doi.org/10.1007/s00402-005-0054-9

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  • DOI: https://doi.org/10.1007/s00402-005-0054-9

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