Anatomic and Biomechanical Characteristics of the Ankle Joint and Total Ankle Arthroplasty


Ankle Joint Plantar Flexion Distal Tibia Total Ankle Arthroplasty Deltoid Ligament 
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  1. [1]
    Barnett CH, Napier JR (1952) The axis of rotation at the ankle joint in man. Its influence upon the form of the talus and mobility of the fibula. J Anatomy 86: 1–9Google Scholar
  2. [2]
    Bartel DL, Bicknell VL, Wright TM (1986) The effect of conformity, thickness, and material on stresses in ultra-high molecular weight components for total joint replacement. J Bone Joint Surg Am 68: 1041–1051PubMedGoogle Scholar
  3. [3]
    Bartel DL, Burstein AH, Toda MD, Edwards DL (1985) The effect of conformity and plastic thickness on contact stresses in metal-backed plastic implants. J Biomech Eng 107: 193–199PubMedGoogle Scholar
  4. [4]
    Bartel DL, Rawlinson JJ, Burstein AH, Ranawat CS, Flynn WF, Jr. (1995) Stresses in polyethylene components of contemporary total knee replacements. Clin Orthop 317: 76–82Google Scholar
  5. [5]
    Baumhauer JF, Alosa DM, Renstroem PA, Trevino S, Beynnon B (1995) A prospective study of ankle injury risk factors. Am J Sports Med 23: 564–570PubMedGoogle Scholar
  6. [6]
    Beaudoin AJ, Fiore WR, Krause WR (1991) Effect of isolated talocalcaneal fusion on contact in the ankle and talonavicular joints. Foot Ankle 12: 19–25PubMedGoogle Scholar
  7. [7]
    Boss AP, Hintermann B (2002) Anatomical study of the medial ankle ligament complex. Foot Ankle Int 23: 547–553PubMedGoogle Scholar
  8. [8]
    Buechel FF, Pappas MJ, Iorio LJ (1988) New Jersey low contact stress total ankle replacement: biomechanical rationale and review of 23 cementless cases. Foot Ankle 8: 279–290PubMedGoogle Scholar
  9. [9]
    Burge PD, Evans M (1986) Effect of surface replacement arthroplasty on stability of the ankle. Foot Ankle 7: 10–17PubMedGoogle Scholar
  10. [10]
    Calderale PM, Garro A, Barbiero R, Fasolio G, Pipino F (1983) Biomechanical design of the total ankle prosthesis. Eng Med 12: 69–80PubMedGoogle Scholar
  11. [11]
    Calhoun JH, Li F, Ledbetter BR, Viegas SF (1994) A comprehensive study of pressure distribution in the ankle joint with inversion and eversion. Foot Ankle Int 15: 125–133PubMedGoogle Scholar
  12. [12]
    Cameron HU, Pilliar RM, Macnab I (1976) The rate of bone ingrowth into porous metal. J Biomed Mater Res 10: 295–302PubMedGoogle Scholar
  13. [13]
    Cass J, Morrey EY, Chao EY (1984) Three-dimensional kinematics of ankle instability following serial sectioning of lateral collateral ligaments. Foot Ankle 5: 142–149PubMedGoogle Scholar
  14. [14]
    Cass JR, Settles H (1994) Ankle instability: in vitro kinematics in response to axial load. Foot Ankle Int 15: 134–140PubMedGoogle Scholar
  15. [15]
    Close JR (1956) Some applications of the functional anatomy of the ankle joint. J Bone Joint Surg Am 38: 761–781PubMedGoogle Scholar
  16. [16]
    Colville MR, Marder RA, Boyle JJ, Zarins B (1990) Strain measurement in lateral ankle ligaments. Am J Sports Med 18: 196–200PubMedGoogle Scholar
  17. [17]
    Deland JT, Morris GD, Sung IH (2000) Biomechanics of the ankle joint. A perspective on total ankle replacement. Foot Ankle Clin 5: 747–759PubMedGoogle Scholar
  18. [18]
    Ewald FC, Walker PS (1988) The current status of total knee replacement. Rheum Dis Clin North Am 14: 579–590PubMedGoogle Scholar
  19. [19]
    Falsig J, Hvid I, Jensen N (1986) Finite element stress analysis of some ankle joint prostheses. Clin Biomech 1: 71–76Google Scholar
  20. [20]
    Gill LH (2002) Principles of joint arthroplasty as applied to the ankle. AAOS Instructional Course Lect, chap 13, pp 117–128Google Scholar
  21. [21]
    Grath G (1960) Widening of the ankle mortise. Aclinical and experimental study. Acta Orthop Scand 263(Suppl): 1–88Google Scholar
  22. [22]
    Harper MC (1987) Deltoid ligament: an anatomical evaluation of function. Foot Ankle 8: 19–22PubMedGoogle Scholar
  23. [23]
    Hicks JH (1953) The mechanics of the foot. 1. The joints. J Anatomy 87: 345–357Google Scholar
  24. [24]
    Hintermann B, Nigg BM (1995) In vitro kinematics of the loaded ankle/foot complex in response to dorsi-/plantar flexion. Foot Ankle Int 16: 514–518PubMedGoogle Scholar
  25. [25]
    Hintermann B, Nigg BM, Sommer C, Cole GK (1994) Transfer of movement between calcaneus and tibia in vitro. Clin Biomech 9: 349–355Google Scholar
  26. [26]
    Hintermann B, Sommer C, Nigg BM (1995) The influence of ligament transection on tibial and calcaneal rotation with loading and dorsi-/plantar flexion. Foot Ankle Int 9: 567–571Google Scholar
  27. [27]
    Hollis JM, Blasier RD, Flahiff CM (1995) Simulated lateral ankle ligamentous injury. Change in ankle stability. Am J Sports Med 23: 672–677PubMedGoogle Scholar
  28. [28]
    Hvid I, Rasmussen O, Jensen NC, Nielsen S (1985) Trabecular bone strength profiles at the ankle joint. Clin Orthop 199: 306–312PubMedGoogle Scholar
  29. [29]
    Inman VT (1991) The joints of the ankle, 2nd ed. Williams & Wilkins, Baltimore, pp 31–74Google Scholar
  30. [30]
    Johnson EE, Markolf KL (1983) The contribution of the anterior talofibular ligament to the ankle laxity. J Bone Joint Surg Am 65: 81–88PubMedGoogle Scholar
  31. [31]
    Kempson GE, Freeman MA, Tuk MA (1975) Engineering considerations in the design of an ankle joint. Biomed Eng 10: 166–180PubMedGoogle Scholar
  32. [32]
    Knupp M, Magerkurth O, Ledermann HP, Hintermann B: The surgical tibiotalar angle — a radiological study. Foot Ankle Int (submitted)Google Scholar
  33. [33]
    Leardini A (2001) Geometry and mechanics of the human ankle complex and ankle prosthesis design. Clin Biomech 16: 706–709Google Scholar
  34. [34]
    Leardini A, O’Connor JJ, Catani F, Giannini S (1999) A geometric model of the human ankle joint. J Biomech 32: 585–591PubMedGoogle Scholar
  35. [35]
    Leardini A, O’Connor JJ, Catani F, Giannini S (2000) The role of the passive structures in the mobility and stability of the human ankle joint: a literature review. Foot Ankle Int 21: 602–615PubMedGoogle Scholar
  36. [36]
    Levens AS, Berkeley CE, Inman VT, Blosser JA (1948) Transverse rotation of the segments of the lower extremity in locomotion. J Bone Joint Surg Am 30: 859–872Google Scholar
  37. [37]
    Lewis G (1994) The ankle joint prosthetic replacement: clinical performance and research challenges. Foot Ankle Int 15: 471–476PubMedGoogle Scholar
  38. [38]
    Lindsjo U, Danckwardt-Lilliestrom G, Sahlstedt B (1985) Measurement of the motion range in the loaded ankle. Clin Orthop 199: 68–71PubMedGoogle Scholar
  39. [39]
    Locke M, Perry J, Campbell J (1984) Ankle and subtalar motion during gait in arthritic patients. Phys Ther 64: 504–509PubMedGoogle Scholar
  40. [40]
    Lowery RB (1995) Fractures of the talus and os calcis. Opin Orthop 6: 25–34Google Scholar
  41. [41]
    Lundberg A (1989) Kinematics of the ankle and foot. In vitro stereophotogrammetry. Acta Orthop Scand 60(Suppl 233): 1–24PubMedGoogle Scholar
  42. [42]
    Lundberg A, Goldie I, Kalin B, Selvik G (1989) Kinematics of the ankle/foot complex, part 1: Plantar flexion and dorsiflexion. Foot Ankle 9: 194–200PubMedGoogle Scholar
  43. [43]
    Lundberg A, Svennson OK, Nemeth G, Selvik G (1989) The axis of rotation of the ankle joint. J Bone Joint Surg Br 71: 94–99PubMedGoogle Scholar
  44. [44]
    Macko VW, Matthews LS, Zwirkoski P (1991) The joint-contact area of the ankle. J Bone Joint Surg Br 73: 347–351PubMedGoogle Scholar
  45. [45]
    Markolf KL, Barger WL, Shoemaker SC, Amstutz HC (1981) The role of joint load in knee stability. J Bone Joint Surg Am 63: 570–585PubMedGoogle Scholar
  46. [46]
    McCullough CJ, Burge PD (1980) Rotatory stability of the load-bearing ankle. An experimental study. J Bone Joint Surg Br 62: 460–464PubMedGoogle Scholar
  47. [47]
    Michelson JD, Clarke HJ, Jinnah RH (1990) The effect of loading on tibiotalar alignment in cadaver ankles. Foot Ankle 10: 280–284PubMedGoogle Scholar
  48. [48]
    Michelson JD, Hamel AJ, Buczek FL, Sharkey NA (2002) Kinematic behavior of the ankle following malleolar fracture repair in a high-fidelity cadaver model. J Bone Joint Surg Am 84: 2029–2038PubMedGoogle Scholar
  49. [49]
    Michelson JD, Helgemo SLJ (1995) Kinematics of the axially loaded ankle. Foot Ankle Int 16: 577–582PubMedGoogle Scholar
  50. [50]
    Michelson JD, Schmidt GR, Mizel MS (2000) Kinematics of a total arthroplasty of the ankle: comparison to normal ankle motion. Foot Ankle Int 21: 278–284PubMedGoogle Scholar
  51. [51]
    Milner CE, Soames RW (1998) Anatomy of the collateral ligaments of the human ankle joint. Foot Ankle Int 19: 757–760PubMedGoogle Scholar
  52. [52]
    Milner CE, Soames RW (1998) The medial collateral ligaments of the human ankle joint: anatomical variations. Foot Ankle Int 19: 289–292PubMedGoogle Scholar
  53. [53]
    Murray MP, Drought AB, Kory RC (1964) Walking patterns of normal men. J Bone Joint Surg Am 46: 335–349PubMedGoogle Scholar
  54. [54]
    Rasmussen O, Kroman-Andersen C, Boe S (1983) Deltoid ligament: functional analysis of the medial collateral ligamentous apparatus of the ankle joint. Acta Orthop Scand 54: 36–44PubMedGoogle Scholar
  55. [55]
    Rasmussen O, Tovberg-Jensen I (1982) Mobility of the ankle joint: recording of rotatory movements in the talocrural joint in vitro with and without the lateral collateral ligaments of the ankle. Acta Orthop Scand 53: 155–160PubMedGoogle Scholar
  56. [56]
    Renstrom P, Wertz M, Incavo S, Pope M, Ostgaard HC, Arms S, Haugh L (1988) Strain in the lateral ligaments of the ankle. Foot Ankle 9: 59–63PubMedGoogle Scholar
  57. [57]
    Roaas A, Andersson GB (1982) Normal range of motion of the hip, knee and ankle joints in male subjects, 30-40 years of age. Acta Orthop Scand 53: 205–208PubMedGoogle Scholar
  58. [58]
    Sammarco GJ, Burstein AH, Frankel VH (1973) Biomechanics of the ankle: a kinematic study. Ortho Clin North Am 4: 75–96Google Scholar
  59. [59]
    Sammarco J (1977) Biomechanics of the ankle: surface velocity and instant center of rotation in the sagittal plane. Am J Sports Med 5: 231–234PubMedGoogle Scholar
  60. [60]
    Sands A, Early J, Sidles J, Sangeorzan BJ (1995) Uniaxial description of hindfoot angular motion before and after calcaneocuboid fusion. Orthop Trans 19: 936–937Google Scholar
  61. [61]
    Sangeorzan BJ, Sidles J (1995) Hinge-like motion of the ankle and subtalar articulations. Orthop Trans 19: 331–332Google Scholar
  62. [62]
    Sarrafian SK (1994) Anatomy of foot and ankle, 2nd ed. Lippincott, Philadelphia, pp 239–240Google Scholar
  63. [63]
    Siegler S, Chen J, Schneck CD (1988) The three-dimensional kinematics and flexibility characteristics of the human ankle and subtalar joint. J Biomech Eng 110: 364–373PubMedGoogle Scholar
  64. [64]
    Sommer C, Hintermann B, Nigg BM, Bogert van den AJ (1996) Influence of ankle ligaments on tibial rotation: an in vitro study. Foot Ankle Int 17: 79–84PubMedGoogle Scholar
  65. [65]
    Stauffer RN, Chao EY, Brewster RC (1977) Force and motion analysis of the normal, diseased, and prosthetic ankle joint. Clin Orthop 127: 189–196PubMedGoogle Scholar
  66. [66]
    Stormont DM, Morrey BF, An KN, Cass JR (1985) Stability of the loaded ankle. Am J Sports Med 13: 295–300PubMedGoogle Scholar
  67. [67]
    Tarr RR, Resnick CT, Wagner KS (1985) Changes in tibiotalar joint contact areas following experimentally induced tibial angular deformities. Clin Orthop 199: 72–80PubMedGoogle Scholar
  68. [68]
    Valderrabano V, Hintermann B, Dick W (2004) Scandinavian total ankle replacement: a 3.7-year average follow-up of 65 patients. Clin Orthop 424: 47–56PubMedGoogle Scholar
  69. [69]
    Valderrabano V, Hintermann B, Nigg BM, Stefanyshyn D, Stergiou P (2003) Kinematic changes after fusion and total replacement of the ankle, part 1: range of motion. Foot Ankle Int 24: 881–887PubMedGoogle Scholar
  70. [70]
    Valderrabano V, Hintermann B, Nigg BM, Stefanyshyn D, Stergiou P (2003) Kinematic changes after fusion and total replacement of the ankle, part 2: movement transfer. Foot Ankle Int 24: 888–896PubMedGoogle Scholar
  71. [71]
    Valderrabano V, Hintermann B, Nigg BM, Stefanyshyn D, Stergiou P (2003) Kinematic changes after fusion and total replacement of the ankle, part 3: talar movement. Foot Ankle Int 24: 897–900PubMedGoogle Scholar
  72. [72]
    Volz RG, Nisbet JK, Lee RW, McMurtry MG (1988) The mechanical stability of various noncemented tibial components. Clin Orthop 226: 38–42PubMedGoogle Scholar
  73. [73]
    Ward KA, Soames RW (1997) Contact patterns at the tarsal joints. Clin Biomech 12: 496–501Google Scholar
  74. [74]
    Weseley MS, Koval R, Kleiger B (1969) Roentgen measurement of ankle flexion-extension motion. Clin Orthop 65: 167–174PubMedGoogle Scholar
  75. [75]
    Wright DG, Desai SM, Henderson WH (1964) Action of the subtalar and ankle-joint complex during the stance phase of walking. J Bone Joint Surg Am 46: 361–382PubMedGoogle Scholar
  76. [76]
    Wright TM, Bartel DL (1968) The problem of surface damage in polyethylene total knee components. Clin Orthop 205: 67–74Google Scholar

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