Anatomic deltoid ligament repair with anchor-to-post suture reinforcement technique tip英文学习资料 .pdfVIP

ANATOMIC DELTOID UGAMENT REPAIR WITH ANCHOR TO POST SUTURE REINFORCEMENT: TECHNIQUE TIP William Lack, MD, Phinit Phisiticul, MD^, John E. Femino ABSTRACT INTRODUCTION The deltoid ligament is the primary ligamentous The deltoid ligament is the primary ligamentous stabilizer of the ankle joint Both superficial and deep stabilizer of the ankle joint. Both superficial and deep components of the ligament can be disrupted with components of the ligament can be disrupted with a a rotational ankle fracture, chronic ankle instability, rotational ankle fracture, chronic ankle instability, or in or in late stage adult acquired flatfoot deformity. The late stage adult acquired fiatfoot deformity.^^ The role of role of deltoid ligament repair in these conditions has deltoid ligament repair in these conditions has been lim- been limited and its contribution to arthritis is largefy^ ited and its contribution to arthritis is largely unknown. unknown. Neglect of the deltoid ligament in the treat- Neglect of the deltoid ligament in tiie treatment of ankle ment of ankle injuries may be due to difficulties in injuries may be due to difficulties in diagnosis and lack diagnosis and lack of an effective method for repair. of an effective method for repair. Most acute repair techniques address the superficial Operative management of deltoid ligament inju- deltoid ligament with direct end-to-end repair, fixa- ries may be indicated acutely in unstable bimalleolar tion through