Four-bundle anatomic deltoid ligament reconstruction: Surgical technique.

Area of Science:

• Orthopedic surgery
• Sports medicine
• Anatomy

Background:

• The deltoid ligament, the strongest medial ankle stabilizer, is frequently overlooked in ankle injuries.
• Medial ankle sprains, comprising 3%-4% of all ankle injuries, are often misdiagnosed, potentially leading to chronic pain, instability, and hindfoot valgus.
• Conservative treatment is effective for most cases, but chronic injuries unresponsive to non-operative management necessitate surgical intervention.

Purpose of the Study:

• To introduce a novel surgical technique for deltoid ligament reconstruction.
• To address severe deltoid ligament injuries and provide a solution for high-demand patients requiring functional stability.

Main Methods:

• Development and description of a new four-bundle deltoid ligament reconstruction technique.
• The technique restores two anterior (superficial and deep) and two posterior (superficial and deep) bundles of the deltoid ligament.

Main Results:

• The presented technique offers a method for reconstructing the deltoid ligament's complex anatomy.
• This approach aims to restore functional stability in cases of severe medial ankle injury.

Conclusions:

• The novel four-bundle deltoid ligament reconstruction technique provides a viable surgical option for severe injuries.
• This method is particularly beneficial for high-demand patients, potentially improving outcomes and restoring ankle function.