{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T14:27:46Z","timestamp":1792160866559,"version":"4.4.0"},"reference-count":20,"publisher":"MDPI AG","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020]]},"abstract":"\n Background<\/jats:title>\n Distal tibiofibular syndesmosis contributes to dynamic stability of the ankle joint and thereby affects gait cycle. The purpose of this study was to evaluate the grade of syndesmosis injury on plantar pressure distribution and dynamic parameters of the foot.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Grade of syndesmosis injury was determined by preoperative plain radiographic evaluation, intraoperative hook test, or external rotation stress test under fluoroscopic examination, and two groups were created: group 1, patients with grade III syndesmosis injury (n = 17); and group 2, patients with grade II syndesmosis injury (n = 10). At the last visit, radiologic and clinical assessment using the Foot and Ankle Outcome Score was performed. Dynamic and stabilometric analysis was carried out at least 1 year after surgery.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The mean age of the patients was 48.9 years (range, 17\u201380 years), and the mean follow-up was 16 months (range, 12\u201324 months). No statistically significant difference was noted between two groups regarding Foot and Ankle Outcome Score. The comparison of stabilometric and dynamic analysis revealed no significant difference between grade II and grade III injuries (\n P<\/jats:italic>\n > .05). However, comparison of the data of patients with grade III syndesmosis injury between injured and healthy feet showed a significant difference for dynamic maximum and mean pressures (\n P<\/jats:italic>\n = .035 and\n P<\/jats:italic>\n = .49, respectively).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Syndesmosis injury does not affect stance phase but affects the gait cycle by generating increased pressures on the uninjured foot and decreased pressures on the injured foot. With the help of pedobarography, processing suitable orthopedic insoles for the injured foot and interceptive measures for overloading of the normal foot may prevent later consequences of ankle trauma.<\/jats:p>\n <\/jats:sec>","DOI":"10.7547\/18-174","type":"journal-article","created":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T17:48:01Z","timestamp":1601488081000},"source":"Crossref","is-referenced-by-count":4,"title":["Dynamic and Stabilometric Analysis After Syndesmosis Injuries"],"prefix":"10.3390","volume":"110","author":[{"given":"Anil","family":"Taskesen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa 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603,\n\t\t\t\t\t2014.\n\t\t\t\thttp:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000333549000011&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f310.2106\/JBJS.M.0009424695928"},{"key":"i8750-7315-110-4-Article_9-b03","series-title":"Foot Ankle Int","doi-asserted-by":"publisher","first-page":"788","DOI":"10.1177\/107110070602701005","article-title":"Malreduction of the tibiofibular syndesmosis in ankle fractures","volume":"27","author":"Gardner","year":"2006","unstructured":"Gardner\n MJ\n \n \n Demetrakopoulos\n D\n \n \n Briggs\n SM\n \n :\n\t\t\t\t\t\n Malreduction of the tibiofibular syndesmosis in ankle fractures.\n\t\t\t\t\tFoot Ankle Int27: 788,\n\t\t\t\t\t2006.\n\t\t\t\t1705487810.1177\/107110070602701005"},{"key":"i8750-7315-110-4-Article_9-b04","series-title":"Foot Ankle 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643,\n\t\t\t\t\t2007.\n\t\t\t\thttp:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000250246700008&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f310.1097\/BOT.0b013e318157a63a"},{"key":"i8750-7315-110-4-Article_9-b08","series-title":"Gait Posture","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1016\/j.gaitpost.2009.10.012","article-title":"One year follow-up after operative ankle fractures: a prospective gait analysis study with a multi-segment foot model","volume":"31","author":"Wang","year":"2010","unstructured":"Wang\n R\n \n \n Thur\n CK\n \n \n Gutierrez-Farewik\n EM\n \n :\n\t\t\t\t\t\n One year follow-up after operative ankle fractures: a prospective gait analysis study with a multi-segment foot model.\n\t\t\t\t\tGait Posture31: 234,\n\t\t\t\t\t2010.\n\t\t\t\t10.1016\/j.gaitpost.2009.10.012http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000274584800017&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f319942435"},{"key":"i8750-7315-110-4-Article_9-b09","series-title":"Rockwood and Green's Fractures in Adults","article-title":"\u201cAnkle Fractures,\u201d","author":"Davidovitch","year":"1974","unstructured":"Davidovitch\n RI\n \n \n Egol\n KA:\n \n \n \u201cAnkle Fractures,\u201d\n in\n \n Rockwood and Green's Fractures in Adults\n ,\n\t\t\t\t\t7th Ed, edited byBucholz,RWHeckman,JDCourt-Brown,CMTornettaPIII,p1974,\n\t\t\t\t\tLippincott Williams & Wilkins,\n\t\t\t\t\tPhiladelphia,\n\t\t\t\t\t2010."},{"key":"i8750-7315-110-4-Article_9-b10","series-title":"J Bone Joint Surg Br","first-page":"405","article-title":"Injuries to the tibiofibular syndesmosis","volume":"90","author":"Dattani","year":"2008","unstructured":"Dattani\n R\n \n \n Patnaik\n S\n \n \n Kantak\n A\n \n :\n\t\t\t\t\t\n Injuries to the tibiofibular syndesmosis.\n\t\t\t\t\tJ Bone Joint Surg Br90: 405,\n\t\t\t\t\t2008.\n\t\t\t\t18378910http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000254588900001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-110-4-Article_9-b11","series-title":"Foot Ankle Int","doi-asserted-by":"publisher","first-page":"1140","DOI":"10.1177\/1071100713483117","article-title":"Validation of the Foot and Ankle Outcome Score in adult acquired flatfoot deformity","volume":"34","author":"Mani","year":"2013","unstructured":"Mani\n SB\n \n \n Brown\n HC\n \n \n Nair\n P\n \n :\n\t\t\t\t\t\n Validation of the Foot and Ankle Outcome Score in adult acquired flatfoot deformity.\n\t\t\t\t\tFoot Ankle Int34: 1140,\n\t\t\t\t\t2013.\n\t\t\t\thttp:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000330289000014&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f32351303110.1177\/1071100713483117"},{"key":"i8750-7315-110-4-Article_9-b12","series-title":"Foot (Edinb)","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.foot.2016.04.001","article-title":"Relationships between mechanical joint stability and somatosensory function in individuals with chronic ankle instability","volume":"28","author":"Kirby","year":"2016","unstructured":"Kirby\n JL\n \n \n Houston\n MN\n \n \n Gabriner\n ML\n \n :\n\t\t\t\t\t\n Relationships between mechanical joint stability and somatosensory function in individuals with chronic ankle instability.\n\t\t\t\t\tFoot (Edinb)28: 1,\n\t\t\t\t\t2016.\n\t\t\t\t10.1016\/j.foot.2016.04.001"},{"key":"i8750-7315-110-4-Article_9-b13","series-title":"J Foot Ankle Res","first-page":"1","article-title":"Deviations in gait metrics in patients with chronic ankle instability: a case control study","volume":"21","author":"Gigi","year":"2015","unstructured":"Gigi\n R\n \n \n Haim\n A\n \n \n Luger\n E\n \n :\n\t\t\t\t\t\n Deviations in gait metrics in patients with chronic ankle instability: a case control study.\n\t\t\t\t\tJ Foot Ankle Res21: 1,\n\t\t\t\t\t2015.\n\t\t\t\thttp:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000349923100001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-110-4-Article_9-b14","series-title":"Br J Sports Med","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1136\/bjsm.37.6.495","article-title":"Dynamic force distribution during level walking under the feet of patients with chronic ankle instability","volume":"37","author":"Nyska","year":"2003","unstructured":"Nyska\n M\n \n \n Shabat\n S\n \n \n Simkin\n A\n \n :\n\t\t\t\t\t\n Dynamic force distribution during level walking under the feet of patients with chronic ankle instability.\n\t\t\t\t\tBr J Sports Med37: 495,\n\t\t\t\t\t2003.\n\t\t\t\t10.1136\/bjsm.37.6.49514665586"},{"key":"i8750-7315-110-4-Article_9-b15","series-title":"J Foot Ankle Surg","doi-asserted-by":"publisher","first-page":"1216","DOI":"10.1053\/j.jfas.2016.07.017","article-title":"Pedobarographic and radiological analysis after treating a talus neck fracture","volume":"55","author":"\u00c7olak","year":"2016","unstructured":"\u00c7olak\n TK\n \n \n \u00c7olak\n \u0130\n \n \n Timurta\u015f\n E\n \n :\n\t\t\t\t\t\n Pedobarographic and radiological analysis after treating a talus neck fracture.\n\t\t\t\t\tJ Foot Ankle Surg55: 1216,\n\t\t\t\t\t2016.\n\t\t\t\t10.1053\/j.jfas.2016.07.01727600487http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000387094700017&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-110-4-Article_9-b16","series-title":"J Foot Ankle Surg","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1053\/j.jfas.2015.07.018","article-title":"Pedobarography in the assessment of postoperative calcaneal fracture pressure with gait","volume":"55","author":"Genc","year":"2016","unstructured":"Genc\n Y\n \n \n Gultekin\n A\n \n \n Duymus\n TM\n \n :\n\t\t\t\t\t\n Pedobarography in the assessment of postoperative calcaneal fracture pressure with gait.\n\t\t\t\t\tJ Foot Ankle Surg55: 99,\n\t\t\t\t\t2016.\n\t\t\t\t10.1053\/j.jfas.2015.07.01826364236http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000367071200023&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"},{"key":"i8750-7315-110-4-Article_9-b17","series-title":"Arch Orthop Trauma Surg","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1007\/s00402-012-1655-8","article-title":"Results of dynamic pedobarography following surgically treated intraarticular calcaneal fractures","volume":"133","author":"Jansen","year":"2013","unstructured":"Jansen\n H\n \n \n Frey\n SP\n \n \n Ziegler\n C\n \n .\n\t\t\t\t\t\n Results of dynamic pedobarography following surgically treated intraarticular calcaneal fractures.\n\t\t\t\t\tArch Orthop Trauma Surg133: 259,\n\t\t\t\t\t2013.\n\t\t\t\t10.1007\/s00402-012-1655-8"},{"key":"i8750-7315-110-4-Article_9-b18","series-title":"Int 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of a diastasis screw on the outcome of Weber type-C ankle fractures.\n\t\t\t\t\tJ Bone Joint Surg Br77: 435,\n\t\t\t\t\t1995.\n\t\t\t\t7744931"},{"key":"i8750-7315-110-4-Article_9-b20","series-title":"Foot Ankle Int","doi-asserted-by":"publisher","first-page":"1243","DOI":"10.1177\/1071100716660822","article-title":"Clinical adaptation of the \u201ctibiofibular line\u201d for intraoperative evaluation of open syndesmosis reduction accuracy: a cadaveric study","volume":"37","author":"Reb","year":"2016","unstructured":"Reb\n CW\n \n \n Hyer\n CF\n \n \n Collins\n CL\n \n :\n\t\t\t\t\t\n Clinical adaptation of the \u201ctibiofibular line\u201d for intraoperative evaluation of open syndesmosis reduction accuracy: a cadaveric study.\n\t\t\t\t\tFoot Ankle Int37: 1243,\n\t\t\t\t\t2016.\n\t\t\t\t2753098310.1177\/1071100716660822http:\/\/gateway.webofknowledge.com\/gateway\/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000387331300016&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f3"}],"container-title":["Journal of the American Podiatric Medical 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