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Deltoid-Spring Ligament Reconstruction for Adult Acquired Flatfoot Deformity With Medial Peritalar Instability

March 01, 2020

Contributors: James D Brodell Jr, BA; Adam Davis, BA; Irvin Oh, MD; Ashlee Paige MacDonald, MD

Spring ligament tears commonly occur in patients with advanced stages of adult acquired flatfoot deformity. Previous anatomic studies have reported that the superficial deltoid ligament blends with the superomedial spring ligament, forming the talocalcaneonavicular ligament. We propose that the addition of talocalcaneonavicular ligament allograft reconstruction to osseous correction may augment medial peritalar stability more effectively than isolated spring or deltoid ligament reconstruction in patients with advanced adult acquired flatfoot deformity who have a large spring ligament tear.

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