Technique for arthroscopic deltoid ligament repair with description of safe zones

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Universidade Federal de Minas Gerais

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Artigo de periódico

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Resumo

Repair of the deltoid ligaments is suggested in patients with medial ankle instability after a ligamentous injury or lateral malleolar fracture fixation. Arthroscopy can be a definitive mode of determining whether there is medial instability and, therefore, help to determine whether there is a need to repair the deltoid ligaments. The authors describe a technique for the arthroscopic repair of the deltoid ligaments, using a suture passer and suture anchors. Cadaveric analysis was utilized to establish safe zones and indicate that there is a relatively wide safe zone between the posterior tibialis tendon and the saphenous vein when performing the technique. The authors have performed more than 87 arthroscopic deltoid repairs, with a greater than 90% satisfaction rate among patients. However, future studies with validated outcome measures are needed. Level of Evidence: Level V, expert opinion.

Abstract

Assunto

Ankle, Ligaments

Palavras-chave

Ankle, Ligament, Arthroscopic ankle deltoid ligament repair, Deltoid repair

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https://journals.sagepub.com/doi/10.1177/1071100720909138

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