Anatomic bundle reconstruction of the deltoid ligament

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