Ankle syndesmotic instability assessment using a three-dimensional distance mapping algorithm: a cadaveric pilot WBCT study

Kevin Dibbern; Grayson Talaski; Eli Schmidt; Ryan Jasper; Vineel Mallavarapu; Matthew Jones; Hannah Stebral; Andrew Behrens; Kepler Alencar Mendes de Carvalho; Ki Chun  Kim; Nacime Salomão Barbachan Mansur; César De César Netto

doi:10.30795/jfootankle.2022.v16.1673

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Ankle syndesmotic instability assessment using a three-dimensional distance mapping algorithm: a cadaveric pilot WBCT study

Journal article

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Ankle syndesmotic instability assessment using a three-dimensional distance mapping algorithm: a cadaveric pilot WBCT study

Kevin Dibbern, Grayson Talaski, Eli Schmidt, Ryan Jasper, Vineel Mallavarapu, Matthew Jones, Hannah Stebral, Andrew Behrens, Kepler Alencar Mendes de Carvalho, Ki Chun Kim, …

Journal of the Foot & Ankle, Vol.16(3), pp.190-194

12/20/2022

DOI: 10.30795/jfootankle.2022.v16.1673

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Abstract

Objective: This cadaveric pilot study was to develop a weight bearing computed tomography (WBCT) three-dimensional (3D) distance mapping algorithm that would allow for detection of syndesmotic instability. Methods: Pilot study, two cadaveric specimens. Syndesmotic instability was induced by release of all syndesmotic ligaments through a conventional lateral ankle approach. WBCT imaging under simulated weight bearing was acquired before and after syndesmotic destabilization. Syndesmotic incisura and ankle gutter distances were assessed using a 3D distance mapping WBCT algorithm. Results: We found increases in the overall mean syndesmotic distances in the injured syndesmosis when compared to pre-injury state, and color coded distance maps allowed easy interpretation of the syndesmotic widening following ligament sectioning and destabilization of the syndesmotic joint. Conclusion: The WBCT 3D distance mapping algorithm has the potential to allow detection of mild syndesmotic instability with a relatively ease of interpretation by using color-coded distance maps. Level of Evidence V; Cadaveric Study.

Details

Title: Subtitle: Ankle syndesmotic instability assessment using a three-dimensional distance mapping algorithm: a cadaveric pilot WBCT study
Creators: Kevin Dibbern
Grayson Talaski
Eli Schmidt
Ryan Jasper
Vineel Mallavarapu
Matthew Jones
Hannah Stebral
Andrew Behrens
Kepler Alencar Mendes de Carvalho
Ki Chun Kim
Nacime Salomão Barbachan Mansur
César De César Netto
Resource Type: Journal article
Publication Details: Journal of the Foot & Ankle, Vol.16(3), pp.190-194
DOI: 10.30795/jfootankle.2022.v16.1673
ISSN: 2675-2980
eISSN: 2675-2980
Language: English
Date published: 12/20/2022
Academic Unit: Orthopedics and Rehabilitation; Surgery
Record Identifier: 9984353960302771

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