Biomechanical analysis of hindfoot joint after ankle arthrodesis

doi:10.13418/j.issn.1001-165x.2023.2.16

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Chinese Journal of Clinical Anatomy ›› 2023, Vol. 41 ›› Issue (2) : 212-217. DOI: 10.13418/j.issn.1001-165x.2023.2.16

Biomechanical analysis of hindfoot joint after ankle arthrodesis

Lin Wenjie¹，Sun Xin¹，Huang Wenhua^{1, 2}，Wei Bo¹，Lin Tao¹，Liang Zhenming¹，Zhong Huan¹，Zhang Xin¹， Ouyang Hanbin¹*

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Abstract

Objective To investigate the biomechanical characteristics of hindfoot joint after ankle arthrodesis. Methods Based on the CT images of the right ankle of healthy adult male volunteers, a three-dimensional finite element model of the normal ankle was constructed. On this basis, the bony fusion after ankle arthrodesis was simulated. Five load cases of neutral, external rotation, internal rotation, dorsiflexion， and plantar flexion were used to analyze the model group before and after fusion, and to evaluate the changes of overall stiffness and the contact mechanical characteristics of subtalar joint and talonavicular joint before and after ankle arthrodesis. Results After ankle arthrodesis, the overall structural stiffness was significantly higher than that of the model before fusion. Except for neutral condition, the contact area of subtalar joint after fusion decreased, while the contact area of talonavicular joint increased. The contact stress of subtalar joint and talonavicular joint after fusion generally showed a downward trend under various working conditions. Conclusions The change of contact characteristics of adjacent joints after ankle arthrodesis may be the result of the change of bearing mode after the improvement of the overall structural stiffness of the foot, and its association with the degenerative changes of adjacent hindfoot joints needs to be confirmed by further research.

Key words

Traumatic arthritis of ankle / / / Ankle arthrodesis / / / Hindfoot joint / / / Finite element analysis / / / Biomechanics

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Lin Wenjie, Sun Xin, Huang Wenhua, Wei Bo, Lin Tao, Liang Zhenming, Zhong Huan, Zhang Xin, Ouyang Hanbin. Biomechanical analysis of hindfoot joint after ankle arthrodesis[J]. Chinese Journal of Clinical Anatomy. 2023, 41(2): 212-217 https://doi.org/10.13418/j.issn.1001-165x.2023.2.16

References

[1] Saltzman CL, Salamon ML, Blanchard GM, et al. Epidemiology of ankle arthritis: report of a consecutive series of 639 patients from a tertiary orthopaedic center[J]. Iowa Orthop J, 2005, 25(19): 44–46. PMID: 16089071
[2] Hautmann MG, Hipp M, Neumaier U, et al. Radiotherapy for osteoarthritis of the ankle and tarsal joints-analysis of 66 joints[J]. Strahlentherapie und Onkologie,2020,196(6): 569-575. DOI: 10.1007/s00066-019-01551-5.
[3] Fuentes-Sanz A, Moya-Angeler J, López-Oliva F, et al. Clinical Outcome and Gait Analysis of Ankle Arthrodesis[J]. Foot Ankle Int, 2012, 33(10): 819-827. DOI: 10.3113/FAI.2012.0819.
[4] Coester LM, Saltzman CL, Leupold J, et al. Long-term results following ankle arthrodesis for post-traumatic arthritis[J]. J Bone Joint Surg Am, 2001, 83(2): 219-28. DOI: 10.2106/00004623-200102000-00009.
[5] 金乾坤,何盛为,何飞熊,等.足踝部三维有限元仿真模型的构建及验证[J].中国数字医学,2016, 11(4): 83-86. DOI: 10.3969/j.issn.1673-7571.2016.04.029.
[6] Ramlee MH, Gan HS, Daud SA, et al. Stress distributions and micromovement of fragment bone of pilon fracture treated with external fixator: a finite element analysis[J]. J Foot Ankle Surg, 2020, 59(4): 664-672. DOI: 10.1053/j.jfas.2019.09.006.
[7] 刘忠鑫,王维,张欣,等.螺钉固定与Tight-rope固定治疗下胫腓前联合损伤的初步有限元分析[J].中国骨伤, 2018, 31(10): 937-943. DOI: 10.3969/j.issn.1003-0034.2018.10.012.
[8] Wang S, Yu J, Ma X, et al. Finite element analysis of the initial stability of arthroscopic ankle arthrodesis with three-screw fixation: posteromedial versus posterolateral home-run screw[J]. J Orthop Surg Res, 2020, 15(1): 252. DOI: 10.1186/s13018-020-01767-7.
[9] Anderson DD, Goldsworthy JK, et al. Physical validation of a patient-specific contact finite element model of the ankle[J]. J Biomech, 2007, 40(8): 1662-1669. DOI: 10.1016/j.jbiomech.2007.01.024
[10]Schuh R, Hofstaetter JG, Hofstaetter SG, et al. Plantar pressure distribution after tibiotalar arthrodesis[J]. Clin Biomech (Bristol, Avon), 2011, 26(6): 620-625. DOI: 10.1016/j.clinbiomech.2011.02.001.
[11]Sturnick DR, Demetracopoulos CA, Ellis SJ, et al. Adjacent joint kinematics after ankle arthrodesis during cadaveric gait simulation[J].Foot Ankle Int, 2017,38(11): 1249-1259.DOI: 10.1177/107110071 7726806.
[12] 俞光荣, 杨云峰, 张凯, 等. 距下关节、踝关节对后足运动影响的实验研究[J]. 中华骨科杂志, 2005, 25(4): 236-239. DOI: 10.3760/j.issn:0253-2352.2005.04.012.
[13] Sealey RJ, Myerson MS, Molloy A, et al. Sagittal plane motion of the hindfoot following ankle arthrodesis: a prospective analysis[J]. Foot Ankle Int, 2009, 30(3): 187-96. DOI: 10.3113/FAI.2009.0187.
[14] Bruening DA, Cooney TE, Ray MS, et al. Multisegment foot kinematic and kinetic compensations in level and uphill walking following tibiotalar arthrodesis[J]. Foot Ankle Int, 2016, 37(10): 1119-1129. DOI: 10.1177/1071100716655205.
[15] 燕晓宇,俞光荣,丁祖泉,等.距舟关节的三维运动度及其临床意义[J].中国临床解剖学杂志, 2007, 25(6): 693-695. DOI: 10.3969/j.issn.1001-165X.2007.06.024.
[16]Wayne JS, Lawhorn KW, Davis KE, et al. The effect of tibiotalar fixation on foot biomechanics[J]. Foot Ankle Int, 1997, 18(12):792-797. DOI: 10.1177/107110079701801207.
[17]Jung HG, Parks BG, Nguyen A, et al. Effect of tibiotalar joint arthrodesis on adjacent tarsal joint pressure in a cadaver model[J]. Foot Ankle Int, 2007, 28(1): 103-108. DOI: 10.3113/FAI.2007.0019.
[18]Wang Y, Li Z, Wong DW, Zhang M. Effects of ankle arthrodesis on biomechanical performance of the entire foot [J]. PLoS One, 2015, 10(7): e0134340. DOI: 10.1371/journal.pone.0134340.
[19]Jones CR, Wong E, Applegate GR, et al. Arthroscopic ankle arthrodesis: a 2-15year follow-up study[J]. Arthroscopy, 2018, 34(5): 1641-1649. DOI: 10.1016/j.arthro.2017.11.031.
[20] Ling JS, Smyth NA, Fraser EJ, et al. Investigating the relationship between ankle arthrodesis and adjacent-joint arthritis in the hindfoot: a systematic review[J]. J Bone Joint Surg Am, 2015, 97(6): 513-520. PMID: 25948528.