Hospital for Special Surgery's Illustrated Tips and Tricks in Foot and Ankle Surgery by David Levine; & David Levine

Author:David Levine; & David Levine
Language: eng
Format: epub
Publisher: Lippincott Williams & Wilkins
Published: 2020-08-15T00:00:00+00:00

Figure 18-7. A, The superficial deltoid ligament with intermediate tear. B, Two anchors are in the medial malleolus. C, One anchor is placed into the tuberosity of the navicular. D, The deep flap is reattached to the medial malleolus using the distal anchor suture. E, The superficial flap is reattached to the tuberosity of the navicular. F, Sutures are tightened and ligament reconstruction is reconstructed. G, The superior medial malleolus anchor is used to reconstruct the tibionavicular ligament. H, Final reconstruction with overlying no. 0 resorbable sutures. I, Principle of reconstruction. Reprinted with permission from Wiesel SW. Operative Techniques in Orthopaedic Surgery. 1st ed. Philadelphia, PA: Wolters Kluwer, Lippincott Williams & Wilkins; 2010. Figure 104.TechFig5a-i.

●Place two suture anchors proximal to the medial malleolus, and refix them to the distal flap and the tibionavicular ligament, respectively. Place one suture anchor on the navicular tuberosity and refix it to the proximal flap. Secure reconstructed tibionavicular and tibiospring ligaments with an overlying no. 0 absorbable suture.

●Reconstruction of the superficial deltoid ligament: distal tear or avulsion (Figure 18-8)

●Debride ligamentous footprint on navicular.

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