Journal article
Anatomic deltoid ligament repair with anchor-to-post suture reinforcement: technique tip
The Iowa orthopaedic journal, Vol.32, pp.227-230
2012
PMCID: PMC3565408
PMID: 23576946
Appears in Diamond Open Access
Abstract
The deltoid ligament is the primary ligamentous stabilizer of the ankle joint. Both superficial and deep components of the ligament can be disrupted with a rotational ankle fracture, chronic ankle instability, or in late stage adult acquired flatfoot deformity. The role of deltoid ligament repair in these conditions has been limited and its contribution to arthritis is largely unknown. Neglect of the deltoid ligament in the treatment of ankle injuries may be due to difficulties in diagnosis and lack of an effective method for repair. Most acute repair techniques address the superficial deltoid ligament with direct end-to-end repair, fixation through bone tunnels, or suture anchor repair of avulsion injuries. Deep deltoid ligament repair has been described using direct end-to-end repair with sutures, as well as by autograft and allograft tendon reconstruction utilizing various techniques. Newer tenodesis techniques have been described for late reconstruction of both deep and superficial components in patients with stage 4 adult acquired flatfoot deformity. We describe a technique that provides anatomic ligament-to-bone repair of the superficial and deep bundles of the deltoid ligament while reducing the talus toward the medial malleolar facet of the tibiotalar joint with anchor-to-post reinforcement of the ligamentous repair. This technique may protect and allow the horizontally oriented fibers of the deep deltoid ligament to heal with the appropriate resting length while providing immediate stability of the construct.
Details
- Title: Subtitle
- Anatomic deltoid ligament repair with anchor-to-post suture reinforcement: technique tip
- Creators
- William Lack - Department of Orthopaedics and Rehabilitation, Roy and Lucille Carver College of Medicine, The University of Iowa, Iowa City, IA 52242, USAPhinit PhisitkulJohn E Femino
- Resource Type
- Journal article
- Publication Details
- The Iowa orthopaedic journal, Vol.32, pp.227-230
- Publisher
- Dept. of Orthopaedics, The University of Iowa; United States
- PMID
- 23576946
- PMCID
- PMC3565408
- ISSN
- 1541-5457
- eISSN
- 1555-1377
- Language
- English
- Date published
- 2012
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984040212902771
Metrics
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