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Anatomic Reconstruction of the Spring Ligament Complex: “Internal Brace” Augmentation Technique

Acevedo, Jorge I. MD; Vora, Anand MD

Techniques in Foot & Ankle Surgery: June 2014 - Volume 13 - Issue 2 - p 89–93
doi: 10.1097/BTF.0000000000000047
Special Focus: Advances in Medial Ankle Instability

The spring (calcaneonavicular) ligament complex is the static support most often observed to fail with flatfoot deformity. Successful anatomic repair of the spring ligament has been inconsistent and therefore augmentation reconstruction has been recommended. Current procedures to correct adult flatfoot deformity use bony and soft tissue combinations to realign the peritalar subluxation without addressing the primary factor leading to talar derotation. We describe a simple method which accomplishes a primary anatomic ligament repair with secondary augmentation of the superomedial and plantar bands of the spring ligament.

*Heekin Orthopedic Specialists, Jacksonville, FL

Illinois Bone and Joint Institute, University of Illinois, Chicago, IL

J.I.A. and A.V. are consultant speakers for the manufacturer of device.

Address correspondence and reprint requests to Jorge I. Acevedo, MD, Heekin Orthopedic Specialists, 2627 Riverside Avenue, Suite 300, Jacksonville, FL 32204. E-mail:

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