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Combined Spring and Deltoid Ligament Repair in Adult-Acquired Flatfoot.
Foot Ankle Int. 2018 08; 39(8):903-907.FA

Abstract

BACKGROUND

Adult-acquired flatfoot deformity (AAFD) is usually due to a combination of mechanical failure of the osteoligamentous complex that maintains the medial longitudinal arch of the foot and attenuation or complete tear of the posterior tibial tendon. Magnetic resonance imaging studies in patients with flatfoot deformities have reported the posterior tibial tendon to be pathologic in up to 100% of patients, the spring ligament in up to 87%, and the deltoid ligament in 33%. Many studies in the literature describe reconstruction of the spring ligament or the deltoid ligament associated with AAFD, but there is no study in which both (spring and deltoid) ligaments are reconstructed at the same time. We describe a novel technique to reconstruct the deltoid ligament and the spring ligament at the same time.

METHODS

We described the technique and evaluated 10 consecutive patients with AAFD and insufficient ankle and midfoot ligaments.

RESULTS

We found no postoperative complications, stiffness, or loss of correction.

CONCLUSION

We present a novel technique to reconstruct the failed deltoid and spring ligament during flatfoot correction. It is unique in that it uses internal brace augmentation with FiberTape® to help and protect the soft tissue healing.

LEVEL OF EVIDENCE

Level IV, retrospective case series.

Authors+Show Affiliations

1 Federal University of São Paulo, São Paulo, Brazil.1 Federal University of São Paulo, São Paulo, Brazil.1 Federal University of São Paulo, São Paulo, Brazil.1 Federal University of São Paulo, São Paulo, Brazil.2 Federal University of Minas Gerais, Minas Gerais, Brazil.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29658814

Citation

Nery, Caio, et al. "Combined Spring and Deltoid Ligament Repair in Adult-Acquired Flatfoot." Foot & Ankle International, vol. 39, no. 8, 2018, pp. 903-907.
Nery C, Lemos AVKC, Raduan F, et al. Combined Spring and Deltoid Ligament Repair in Adult-Acquired Flatfoot. Foot Ankle Int. 2018;39(8):903-907.
Nery, C., Lemos, A. V. K. C., Raduan, F., Mansur, N. S. B., & Baumfeld, D. (2018). Combined Spring and Deltoid Ligament Repair in Adult-Acquired Flatfoot. Foot & Ankle International, 39(8), 903-907. https://doi.org/10.1177/1071100718770132
Nery C, et al. Combined Spring and Deltoid Ligament Repair in Adult-Acquired Flatfoot. Foot Ankle Int. 2018;39(8):903-907. PubMed PMID: 29658814.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Combined Spring and Deltoid Ligament Repair in Adult-Acquired Flatfoot. AU - Nery,Caio, AU - Lemos,André Vitor Kerber C, AU - Raduan,Fernando, AU - Mansur,Nacime Salomão B, AU - Baumfeld,Daniel, Y1 - 2018/04/16/ PY - 2018/4/17/pubmed PY - 2019/5/28/medline PY - 2018/4/17/entrez KW - FiberTape KW - deltoid ligament KW - flatfoot KW - internal brace KW - spring ligament SP - 903 EP - 907 JF - Foot & ankle international JO - Foot Ankle Int VL - 39 IS - 8 N2 - BACKGROUND: Adult-acquired flatfoot deformity (AAFD) is usually due to a combination of mechanical failure of the osteoligamentous complex that maintains the medial longitudinal arch of the foot and attenuation or complete tear of the posterior tibial tendon. Magnetic resonance imaging studies in patients with flatfoot deformities have reported the posterior tibial tendon to be pathologic in up to 100% of patients, the spring ligament in up to 87%, and the deltoid ligament in 33%. Many studies in the literature describe reconstruction of the spring ligament or the deltoid ligament associated with AAFD, but there is no study in which both (spring and deltoid) ligaments are reconstructed at the same time. We describe a novel technique to reconstruct the deltoid ligament and the spring ligament at the same time. METHODS: We described the technique and evaluated 10 consecutive patients with AAFD and insufficient ankle and midfoot ligaments. RESULTS: We found no postoperative complications, stiffness, or loss of correction. CONCLUSION: We present a novel technique to reconstruct the failed deltoid and spring ligament during flatfoot correction. It is unique in that it uses internal brace augmentation with FiberTape® to help and protect the soft tissue healing. LEVEL OF EVIDENCE: Level IV, retrospective case series. SN - 1944-7876 UR - https://www.unboundmedicine.com/medline/citation/29658814/Combined_Spring_and_Deltoid_Ligament_Repair_in_Adult_Acquired_Flatfoot_ L2 - http://journals.sagepub.com/doi/full/10.1177/1071100718770132?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -