Deltoid and Spring Ligament Reconstruction: The Quadrangular Construct

JOURNAL TITLE: Journal of Foot and Ankle Surgery (Asia Pacific)

Author
1. Prashant P Pawar
2. Hatesh Kumar
3. Pradeep Moonot
ISSN
2348-280X
DOI
10.5005/jp-journals-10040-1234
Volume
9
Issue
S1
Publishing Year
2022
Pages
4
Author Affiliations
    1. The Royal Bournemouth Hospital NHS Trust, Bournemouth UK
    1. Department of Orthopedics, Mumbai Knee Foot and Ankle Clinic, Mumbai, Maharashtra, India
    1. Department of Orthopedics, Mumbai Knee Foot and Ankle Clinic, Mumbai, Maharashtra, India
  • Article keywords
    Ankle joint, Deltoid ligament, Internal brace, Spring ligament

    Abstract

    Background: The majority of the ankle injuries involves the lateral ankle ligaments, while deltoid ligament injuries are seen in 5%. Both deltoid and spring ligament are primary medial stabilizer of ankle and foot and can be injured simultaneously. Purpose: In this article, we explain a method for combined deltoid and spring ligament reconstruction using Internal Brace™ (Arthrex, Naples, USA) fibertape which mimics the anatomical ligament complex along with the lateral ligament reconstruction. Conclusion: It is a safe and simple technique with promising results at 1 year follow-up.

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