FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4308916010> ?p ?o ?g. }

• W4308916010 endingPage "2473011421S0070" @default.
• W4308916010 startingPage "2473011421S0070" @default.
• W4308916010 abstract "Category: Ankle Introduction/Purpose: The lateral fibular stress test (LFST), also known as the hook or Cotton test, is commonly performed to assess syndesmotic instability intraoperatively. Several studies have determined that 100 Newtons (N) is the required force applied when performing the LFST to detect syndesmotic instability. We hypothesize that surgeons do not uniformly nor consistently apply 100N of force when performing the LFST and that substantial variation exists. Fundamentally, this could lead to under-detection of syndesmotic instability as surgeons may not be applying the requisite force in a consistent manner. Methods: A biomechanical SawBones lower leg model including simulated soft tissue envelope (SawBones inc., Vashon Island, Washington) was mounted to a board and a 1cm diameter hole was drilled across the tibia and fibula in the area of the syndesmosis. An industrial force gauge (Nidec-Shimpo, Kyoto, Japan) was then mounted. A metal extension piece was passed from the force gauge through the hole and positioned so that the tip was exposed on the lateral side of the model. A commonly utilized reduction clamp was affixed to the force gauge. Orthopaedic attending surgeons and trainees were asked to perform a series of LFSTs and to simulate the force they typically apply intra-operatively and this force was recorded in Newtons (N). Basic demographic data was collected on each participant. Results: 33 surgeons participated in the study, including 18 trainees. The median (IQR) force applied during the LFST was 96.42(71.42-126.33), 87.49 (69.19-117.40), 99.99(79.91-137.49), for the pooled group, attendings, and trainees respectively. Over half (54.5%) of all trials were less than 100N (57.8% of surgeons, 51.8% trainees). The distribution of pulls is shown in Figure 1. Intraobserver correlation was excellent within the overall cohort (0.92, p<0.001), trainees (0.90, p<0.001) and attendings (0.94, p<0.001), respectively. Inter-observer reliability was fair among the overall cohort (Kappa =0.28, p=0.49), and poor between the attendings (Kappa=0.11, p=0.69), and the trainees (Kappa=0.05, p=0.82), respectively. Conclusion: Our study demonstrates that the amount of lateral force applied by surgeons in a biomechanical ankle model when performing the LFST is variable and often less than 100N. Inadequate force application when performing the LFST may lead to under-detection of syndesmotic instability which may portend a poorer outcome. Either the intraoperative use of force gauges and/or specific practice outside of the operating theatre (to become familiarized with the proprioceptive feel of generating the requisite force) may permit surgeons to consistently apply the test in a manner that is clinically reproducible." @default.
• W4308916010 created "2022-11-19" @default.
• W4308916010 creator A5015159282 @default.
• W4308916010 creator A5016356028 @default.
• W4308916010 creator A5028957330 @default.
• W4308916010 creator A5079497268 @default.
• W4308916010 creator A5090384549 @default.
• W4308916010 date "2022-10-01" @default.
• W4308916010 modified "2023-09-25" @default.
• W4308916010 title "The Lateral Fibular Stress Test: High Variability of Force Applied May Lead to Under-Detection of Syndesmotic Instability" @default.
• W4308916010 doi "https://doi.org/10.1177/2473011421s00703" @default.
• W4308916010 hasPublicationYear "2022" @default.
• W4308916010 type Work @default.
• W4308916010 citedByCount "0" @default.
• W4308916010 crossrefType "journal-article" @default.
• W4308916010 hasAuthorship W4308916010A5015159282 @default.
• W4308916010 hasAuthorship W4308916010A5016356028 @default.
• W4308916010 hasAuthorship W4308916010A5028957330 @default.
• W4308916010 hasAuthorship W4308916010A5079497268 @default.
• W4308916010 hasAuthorship W4308916010A5090384549 @default.
• W4308916010 hasBestOaLocation W43089160101 @default.
• W4308916010 hasConcept C105702510 @default.
• W4308916010 hasConcept C106207104 @default.
• W4308916010 hasConcept C121332964 @default.
• W4308916010 hasConcept C127413603 @default.
• W4308916010 hasConcept C141071460 @default.
• W4308916010 hasConcept C170700871 @default.
• W4308916010 hasConcept C207821765 @default.
• W4308916010 hasConcept C2777236700 @default.
• W4308916010 hasConcept C2778640784 @default.
• W4308916010 hasConcept C2780776439 @default.
• W4308916010 hasConcept C29694066 @default.
• W4308916010 hasConcept C57879066 @default.
• W4308916010 hasConcept C60584519 @default.
• W4308916010 hasConcept C66938386 @default.
• W4308916010 hasConcept C71924100 @default.
• W4308916010 hasConceptScore W4308916010C105702510 @default.
• W4308916010 hasConceptScore W4308916010C106207104 @default.
• W4308916010 hasConceptScore W4308916010C121332964 @default.
• W4308916010 hasConceptScore W4308916010C127413603 @default.
• W4308916010 hasConceptScore W4308916010C141071460 @default.
• W4308916010 hasConceptScore W4308916010C170700871 @default.
• W4308916010 hasConceptScore W4308916010C207821765 @default.
• W4308916010 hasConceptScore W4308916010C2777236700 @default.
• W4308916010 hasConceptScore W4308916010C2778640784 @default.
• W4308916010 hasConceptScore W4308916010C2780776439 @default.
• W4308916010 hasConceptScore W4308916010C29694066 @default.
• W4308916010 hasConceptScore W4308916010C57879066 @default.
• W4308916010 hasConceptScore W4308916010C60584519 @default.
• W4308916010 hasConceptScore W4308916010C66938386 @default.
• W4308916010 hasConceptScore W4308916010C71924100 @default.
• W4308916010 hasIssue "4" @default.
• W4308916010 hasLocation W43089160101 @default.
• W4308916010 hasLocation W43089160102 @default.
• W4308916010 hasLocation W43089160103 @default.
• W4308916010 hasOpenAccess W4308916010 @default.
• W4308916010 hasPrimaryLocation W43089160101 @default.
• W4308916010 hasRelatedWork W1903361932 @default.
• W4308916010 hasRelatedWork W2009334242 @default.
• W4308916010 hasRelatedWork W2074879654 @default.
• W4308916010 hasRelatedWork W2107955602 @default.
• W4308916010 hasRelatedWork W2386094796 @default.
• W4308916010 hasRelatedWork W2413154149 @default.
• W4308916010 hasRelatedWork W2939526269 @default.
• W4308916010 hasRelatedWork W2954544674 @default.
• W4308916010 hasRelatedWork W4380903880 @default.
• W4308916010 hasRelatedWork W4382862440 @default.
• W4308916010 hasVolume "7" @default.
• W4308916010 isParatext "false" @default.
• W4308916010 isRetracted "false" @default.
• W4308916010 workType "article" @default.