TechniqueDeltoid Ligament Reconstruction: An Arthroscopic-assisted, Limited Open Knotless Approach Utilizing Suture Tape AugmentationMartin, Kevin D. DO, FAAOS, FAANA; Pettit, David P. MD Author Information Department of Orthopaedics, Foot, and Ankle, The Ohio State University Wexner Medical Center, Columbus, OH The authors declare no conflict of interest. Address correspondence and reprint requests to Kevin D. Martin, DO, Department of Orthopaedics, The Ohio State University Wexner Medical Center, 241 W 11th Avenue, Columbus, OH 43201. E-mail: [email protected]. Techniques in Foot & Ankle Surgery: November 7, 2022 - Volume - Issue - 10.1097/BTF.0000000000000366 doi: 10.1097/BTF.0000000000000366 Buy PAP Metrics Abstract The deltoid ligament is the primary medial stabilizer of the ankle and consists of superficial and deep components. Preoperative radiographic and magnetic resonance imaging finds help with surgical indications, but direct arthroscopic dynamic examination is paramount in the diagnosis. Traditionally, the deltoid has been allowed to heal indirectly by stabilizing the ankle syndesmosis. Failure to treat the deltoid results in instability, valgus collapse, and abnormal motion of the ankle. In this technique guide, we describe an arthroscopic-assisted diagnosis followed by a limited open deltoid reconstruction utilizing suture tape augmentation. This technique is for acute and chronic injuries of the deltoid ligament in association with unstable fibula fractures, or in isolated injury following dislocation. Level of Evidence: Diagnostic Level V—expert opinion. See Instructions for Authors for a complete description of levels of evidence. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.