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Approximately 85% of ankle injuries are lateral region injuries.Surgical repair of lateral ligaments is indicated if there is more than 20 degrees of varus or more than 15 mm translation, if conservative treatment is ineffective and degree of damage is high and chronic instability has developed.After the surgery in addition to pain and edema control, weight transfer is not performed on the ankle for 6 weeks.Therefore, this process may adversely affect the muscle strength and range of motion of the ankle, and lower extremity performance and muscular synergies of balance.Although pathological changes caused by ligament damage have been investigated very well in the literature, it is not clear how surgical repair affects these changes. In our study we aim to investigate post-surgical changes.
Primary aim of the study is to evaluate the balance parameters of individuals who have undergone anterior talofibular ligament and / or calcaneofibular ligament repair, and its secondary purpose is to evaluate lower extremity performance, ankle functionality, pain, range of motion and muscle strength and compare them with healthy individuals.
Our hypothesis is that the balance, lower extremity performance and functionality, pain, range of motion and muscle strength of patients who have undergone ankle lateral ligament repair are worse than healthy individuals.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with ATFL repair by arthroscopic method | Patients who have passed at least 1 year after the operation Unilateral arthroscopic ATFL repair Between the ages of 18-65 Volunteer to participate in the study Without any orthopedic conditions, neuromuscular disease, balance disorder, cognitive disorder No history of fracture and surgical operation of the lower extremity |
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| Control group | Between the ages of 18-65 Volunteer to participate in the study Healthy individuals with no disease |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Balance assessment | Other | Static balances will be measured with the Biodex-BioSway 950-462 static balance device according to 3 different standard test procedures (Postural Stability Test, Stability Limit Test and Modified Sensori Organization Test) in single foot stance and double foot stance. Dynamic balances will be evaluated with the Y balance test. |
| Measure | Description | Time Frame |
|---|---|---|
| Static balance assessment-Postural Stability Test | Postural Stability will be measured with the Biodex-BioSway 950-462 static balance device in single foot stance and double foot stance. | 1 year postoperatively |
| Static balance assessment-Stability Limit Test | Stability Limit will be measured with the Biodex-BioSway 950-462 static balance device in double foot stance. | 1 year postoperatively |
| Static balance assessment-Modified Sensori Organization Test | Modified Sensori Organization will be measured with the Biodex-BioSway 950-462 static balance device in double foot stance. | 1 year postoperatively |
| Dynamic balance assessment | Dynamic balances will be evaluated with the Y balance test. | 1 year postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Jumping performance assessment | Performance evaluation will be made with a single leg jump test. | 1 year postoperatively |
| Walking ability | Performance evaluation will be made with time up and go test. |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who have undergone ATFL repair surgery at Gazi University Hospital The healthy control group will consist of patient relatives or volunteers to participate in the study.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| inci ayas | Contact | 03122162621 | inciayass@gmail.com | |
| seyit çıtaker | Contact | 03122162621 | scitaker@gazi.edu.tr |
| Name | Affiliation | Role |
|---|---|---|
| seyit çıtaker | Gazi University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Inci Ayas | Recruiting | Ankara | 06560 | Turkey (Türkiye) |
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| Functionality assessment | Other | Functionality will be evaluated with the Lower Extremity Functional Scale and AOFAS (American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale) |
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| Performance assessment | Other | Performance evaluation will be made with a single leg jump test and time up and go test. |
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| ROM assessment | Other | Range of motion (ROM) of the ankle will be measured with an electrogonyometer in dorsi-plantar flexion. |
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| 1 year postoperatively |
| Lower limb functionality assessment | Functionality will be evaluated with the Lower Extremity Functional Scale. | 1 year postoperatively |
| Foot and ankle functionality assessment | Functionality will be evaluated with the AOFAS (American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale) | 1 year postoperatively |
| ROM assessment | Range of motion (ROM) of the ankle will be measured with an electrogonyometer in dorsi-plantar flexion. | 1 year postoperatively |