title: Is deltoid and lateral ligament reconstruction necessary in varus and valgus ankle osteoarthritis, and how should these procedures be performed?
abstract: Varus and valgus ankle deformities represent a challenge to the foot and ankle surgeons. The presence of degenerative changes of the tibiotalar joint articular surfaces introduces an additional layer of complexity. Reconstruction of such deformities requires a customized approach to each patient. Surgical intervention often requires joint-sparing realignment, arthroplasty, and/or arthrodesis, depending on the severity of deformity and the joint surface integrity. The ligamentous stability of the ankle plays an essential role in the preservation and optimization of function. This article reviews the role of deltoid and lateral ligament reconstruction in the treatment of varus and valgus ankle osteoarthritis.
authors.affiliation: Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 5200 Centre Avenue, Pittsburgh, PA 15232, USA. macalushogan@gmail.com
authors.forename: Macalus V
authors.initials: MV
authors.lastname: Hogan
authors.forename: David M
authors.initials: DM
authors.lastname: Dare
authors.forename: Jonathan T
authors.initials: JT
authors.lastname: Deland
mesh_terms: D000843:Ankle Joint / Q000473:pathology / Q000601:surgery*; D017885:Collateral Ligaments / Q000473:pathology / Q000601:surgery*; D005531:Foot Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008023:Ligaments, Articular / Q000473:pathology / Q000601:surgery*; D010003:Osteoarthritis / Q000150:complications / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*
keywords: Ankle arthritis; Deltoid ligament reconstruction; Lateral ligament reconstruction; Realignment surgery; Valgus ankle deformity; Varus ankle deformity