Combined spring and deltoid ligament repair in adult-acquired flatfoot

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dc.creatorCaio Nery
dc.creatorAndré Vitor Kerber c. Lemos
dc.creatorFernando Raduan
dc.creatorNacime Salomão b. Mansur
dc.creatorDaniel Soares Baumfeld
dc.date.accessioned2023-10-06T20:50:57Z
dc.date.accessioned2025-09-09T01:20:26Z
dc.date.available2023-10-06T20:50:57Z
dc.date.issued2018
dc.format.mimetypepdf
dc.identifier.doi10.1177/1071100718770132
dc.identifier.issn10711007
dc.identifier.urihttps://hdl.handle.net/1843/59255
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofFoot & Ankle International
dc.rightsAcesso Restrito
dc.subjectFlatfoot
dc.subjectDeltoid Muscle
dc.subject.otherFlatfoot
dc.subject.otherDeltoid Muscle
dc.subject.otherSpring ligament
dc.subject.otherFiber Tape
dc.subject.otherInternal brace
dc.titleCombined spring and deltoid ligament repair in adult-acquired flatfoot
dc.typeArtigo de periódico
local.citation.epage907
local.citation.issue8
local.citation.spage903
local.citation.volume39
local.description.resumoBackground: 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.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE APARELHO LOCOMOTOR
local.publisher.initialsUFMG
local.url.externahttps://journals.sagepub.com/doi/10.1177/1071100718770132

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