title: Reconstruction of a severe grinding injury to the medial malleolus and the deltoid ligament of the ankle using a free plantaris tendon graft and vascularized gracilis free muscle transfer: case report.
abstract: Whether or not to reconstruct deltoid ligament injuries of the ankle remains controversial. We present a case of deltoid ligament loss and an extensive overlying soft tissue defect from a grinding injury. The resultant gross medial ankle instability and soft tissue defect necessitated deltoid ligament reconstruction using a free plantaris tendon graft and soft tissue coverage using a free muscle transfer.
authors.affiliation: Division of Surgical Research, Hospital for Sick Children, Toronto, Canada.
authors.forename: M I
authors.initials: MI
authors.lastname: Boyer
authors.forename: V
authors.initials: V
authors.lastname: Bowen
authors.forename: P
authors.initials: P
authors.lastname: Weiler
mesh_terms: D000293:Adolescent; D016512:Ankle Injuries / Q000601:surgery*; D000843:Ankle Joint / Q000502:physiology; D006801:Humans; D008297:Male; D016059:Range of Motion, Articular; D017695:Soft Tissue Injuries / Q000601:surgery*; D013708:Tendon Injuries / Q000601:surgery; D013709:Tendon Transfer / Q000379:methods