Various surgical techniques of deltoid ligament and spring ligament reconstructions in advanced adult-acquired flatfoot deformity have been described. However, none has reported a simultaneous anatomic reconstruction of both the deltoid and spring ligaments. Advanced adult-acquired flatfoot deformity patients often present with combined deltoid and spring ligaments insufficiency, which should be addressed simultaneously to provide adequate correction and maintain static ligamentous stability. We describe a novel anatomic reconstruction of the tibiocalcaneonavicular ligament with peroneus longus allograft. This is the first surgical technique to reconstruct both the deltoid and spring ligament complex.
Level of Evidence: Diagnostic Level 5, expert opinion. See Instructions for Authors for a complete description of levels of evidence.
*Orthopaedic Surgeon, Foot/Ankle, Lower Extremity Reconstruction, Trauma, Powder River Orthopedics & Spine, Campbell County Health, Gillette, WY
‡Professor, Department of Orthopaedics, Division of Foot and Ankle Surgery, University of Rochester, Rochester, NY
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