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Anatomic bundle reconstruction of the deltoid ligament |
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| Affiliation: | 1. Department of Orthopaedics and Trauma Surgery, University of Bonn, Bonn 53105, Germany;2. Orthopaedic Department, University of Basel, Basel 4031, Switzerland;3. Division of Orthopaedic Surgery, Children''s Hospital Boston, Harvard Medical School, Boston, MA, USA;4. Harvard Center for Population and Development Studies, Harvard School of Public Health, Boston, MA, USA;1. Laboratory of Inflammation, Gestation and Autoimmunity, Jacques Monod Institute, CNRS and University Paris-Diderot, 15 rue Hélène Brion, 75205 Paris Cedex 13, France;2. Centre d''Immunologie de Marseille-Luminy (CIML), Aix-Marseille University UM2, France;3. INSERM U1104 and CNRS UMR7280, Marseille, France;4. Health Sciences Research Institute and School of Natural Sciences, University of California, 5200 North Lake Road, Merced, CA 95343, USA |
| Abstract: | BackgroundThe aim of this study was to evaluate the outcome of an anatomic bundle reconstruction of the deltoid ligament in patients with stage IV adult flatfoot deformity.Materials and MethodsEleven patients (50.8 ± 8.1 years, 4 females) were treated with such a procedure combined with osseous realignment as needed.ResultsAt 43 months the tibiotalar angle improved from 26.3 degrees (Range 18 – 35) to 11.0 degrees (Range 5 – 18). The AOFAS score improved from 37.4 points (Range 30 – 50) to 85.1 points (Range 82 – 90). No severe complications occurred in this group.ConclusionAnatomic bundle reconstruction of the deltoid ligament is an effective method in the correction of the tibitalar tilt in servere adult pes planus deformity.Level-of-EvidenceLevel IV - Case series |
| Keywords: | Flat foot delta ligament reconstruction |
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