Biomechanical Analysis of Tibiofibular Syndesmosis Injury Fixation Methods: A Finite Element Analysis

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dc.contributor.authorMercan, Numan
dc.contributor.authorYildirim, Ahmet
dc.contributor.authorDere, Yunus
dc.date.accessioned2024-02-23T14:16:49Z
dc.date.available2024-02-23T14:16:49Z
dc.date.issued2023
dc.departmentNEÜen_US
dc.description.abstractThe optimal treatment strategy after syndesmotic injuries is still controversial. In our study, we aimed to evaluate ideal fixation method in syndesmotic injury by using finite element analysis method. A 3D SolidWorks model file was created by taking computed tomography (CT) images of the area from the right foot base to the knee joint level of a healthy adult male. The intact model, injury model, and 8 different fixation models were created that 3.5 mm screw and suture-button were used in. The models were compared in terms of lateral fibular translation, posterior fibular translation and external rotation of fibula compared to tibia and stress values occurred on screws and suture-buttons. In the hybrid-1 model, lateral fibular translation and external fibular rotation values were obtained as close to the intact model. Von Mises stresses occurred in the screw (435.7 MPa) and suture-button (424.7 MPa) that used in hybrid-1 model was more than single screw at 4 cm model (316.8 MPa) and single suture-button at 2 cm model (160.7 MPa). In the Hybrid-1 model, the screw compensates for posterior fibular translation and external fibular rotation, while the suture-button compensates for lateral fibular translation. Also, the effect of the distal suture-button preventing diastasis in case of proximal screw failure, it was concluded that the hybrid-1 model can be used as a good treatment alternative in the surgical treatment of distal tibiofibular syndesmotic injuries.(c) 2022 by the American College of Foot and Ankle Surgeons. All rights reserved.en_US
dc.identifier.doi10.1053/j.jfas.2022.05.007
dc.identifier.endpage114en_US
dc.identifier.issn1067-2516
dc.identifier.issn1542-2224
dc.identifier.issue1en_US
dc.identifier.pmid35732561en_US
dc.identifier.scopus2-s2.0-85132696285en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage107en_US
dc.identifier.urihttps://doi.org/10.1053/j.jfas.2022.05.007
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12820
dc.identifier.volume62en_US
dc.identifier.wosWOS:000909538600001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal Of Foot & Ankle Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSyndesmosisen_US
dc.subjectAnkle Fracturesen_US
dc.subjectFinite Element Analysisen_US
dc.subjectScrewen_US
dc.subjectSuture-Buttonen_US
dc.titleBiomechanical Analysis of Tibiofibular Syndesmosis Injury Fixation Methods: A Finite Element Analysisen_US
dc.typeArticleen_US

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