Anatomical reconstruction of the spring ligament complex: "internal brace" augmentation.
The calcaneonavicular (spring) ligament complex is a critical static support of the medial arch of the foot. Compromise of this structure has been implicated as a primary causative factor of talar derotation leading to the clinical deformity of peritalar subluxation. Few procedures have been described to address this deficiency. The technique we describe here is a simple yet effective method to reconstruct the spring ligament complex that can easily be used in conjunction with other more commonly used procedures for extra-articular reconstructions of this deformity. We believe this procedure allows for a more powerful deformity correction and may decrease dependency on other nonanatomic reconstructive procedures.
The Center for Bone and Joint Surgery of the Palm Beaches, Royal Palm Beach, Florida (JA).
Jorge
J
Acevedo
Anand
A
Vora
D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery; D001915:Braces; D005260:Female; D005413:Flatfoot / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000517:prevention & control / Q000601:surgery*; D017844:Lateral Ligament, Ankle / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods; D010027:Osteotomy / Q000379:methods; D011182:Postoperative Care / Q000379:methods; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D018570:Risk Assessment; D016896:Treatment Outcome
calcaneonavicular ligament; deltoid ligament; flatfoot; posterior tibial tendon; spring ligament