https://esskajournals.onlinelibrary.wiley.com/doi/full/10.1002/ksa.12274
Deltoid ligament reconstruction is not advocated in acute cases but may be required in particularly severe trauma. A case study reported on the use of a plantaris tendon autograft to reconstruct the deltoid ligament in an injury involving grinding of the medial malleolus. In this case, the ankle was grossly unstable with overlying skin loss.

https://www.arthrex.com/foot-ankle/deltoid-ligament-reconstruction
The Deltoid Ligament Reconstruction Implant System provides a turnkey repair technique to treat this previously difficult to manage pathology using a TightRope® and gold standard Bio-Tenodesis Screws. Utilizing the TightRope construct provides the benefit of cortical fixation and gives surgeons complete control of the final construct tension. By using a free tendon graft to recreate both the

https://journals.sagepub.com/doi/full/10.1177/10225536231182345
A 3D reconstruction of a CT scan, showing the medial widening, in the setting of a acute deltoid ligament rupture with a lesion of the syndesmosis and a more proximal fibula fracture. There is an avulsion fracture of the distal tibia visible in the posterior view of the syndesmosis.

https://www.youtube.com/watch?v=_hiYbMJCqb0
The OrthoIllustrated® animation for deltoid ligament reconstruction is an educational tool to help patients better understand this treatment.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6583558/
Reconstruction surgery should be performed in patients with definitive deltoid ligament injury. Numerous reconstruction techniques for the deltoid ligament have been proposed within the last decade. In 2003, Bohay and Anderson reported that they used the autologous flexor hallucis longus tendon to perform deltoid ligament reconstruction in

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3565408/
Deep deltoid ligament repair has been described using direct end-to-end repair with sutures, as well as by autograft and allograft tendon reconstruction utilizing various techniques. 2,4,6,10,14,18 Newer tenodesis techniques have been described for late reconstruction of both deep and superficial components in patients with stage 4 adult

https://musculoskeletalkey.com/medial-ankledeltoid-ligament-reconstruction/
The deltoid ligament is a multibanded complex with superficial and deep components. It may be wise to differentiate the superficial and deep portions of the deltoid complex with respect to the joints they are spanning. The superficial ligaments cross two joints (the ankle and the subtalar joints) and the deep ligaments cross one joint (only the

https://link.springer.com/chapter/10.1007/978-3-031-08682-3_16
Acute injury of the deltoid ligament is usually treated non-surgically. Although chronic deltoid ligament injury can be treated conservatively, it is usually treated through an open surgery. Open deltoid ligament repair is currently the gold standard treatment. The arthroscopy role in ankle instability has increased, and arthroscopic techniques

https://journals.lww.com/techfootankle/abstract/2023/06000/deltoid_ligament_reconstruction__an.4.aspx
ly, the deltoid has been allowed to heal indirectly by stabilizing the ankle syndesmosis. Failure to treat the deltoid results in instability, valgus collapse, and abnormal motion of the ankle. In this technique guide, we describe an arthroscopic-assisted diagnosis followed by a limited open deltoid reconstruction utilizing suture tape augmentation. This technique is for acute and chronic

https://musculoskeletalkey.com/deltoid-ligament-reconstruction-2/
Learn about the anatomy, pathogenesis, natural history, and surgical management of deltoid ligament deficiency, a common cause of stage IV adult acquired flatfoot deformity. Find out how to diagnose and treat this condition with radiographs, MRI, and peroneus longus tendon reconstruction.

https://www.arthrex.io/resources/patient-education-animation/99UY6Mv1XUWIRQFqjltjCg/deltoid-ligament-reconstruction
Deltoid Ligament Reconstruction. The OrthoIllustrated ® animation for deltoid ligament reconstruction is an educational tool to help patients better understand this treatment. Publication Date: 5/06/19.

https://www.foot.theclinics.com/article/S1083-7515(06)00071-4/fulltext
Fig. 6 Deltoid ligament reconstruction. (A) The tendon of the posterior tibialis is inserted in a drill hole into the medial malleolus (black arrow) and fixed to the periosteum of the distal tibia (white arrow).

https://www.orthobullets.com/foot-and-ankle/7005/ankle-ligaments
ankle fracture. Anterior Talofibular Ligament (ATFL) Function. primary restraint to inversion in plantar flexion. resists anterolateral translation of talus in the mortise. weakest of the lateral ligaments. Anatomy. extends from the anteroinferior border of the fibula to the neck of the talus.

https://www.youtube.com/watch?v=NlELAzCg_3I
The Deltoid Ligament Reconstruction Implant System is a convenient all‐in‐one implant and drill system designed to help facilitate a strong, reproducible rec

https://journals.sagepub.com/doi/10.1177/2473011421S00886
The deltoid ligament complex is the main stabilizing structure of the ankle mortise and is often disrupted in rotational ankle injuries. Current treatment involves open techniques for the acute repair of the superficial deltoid layer, however, repair or reconstruction of the deep deltoid ligament (DDL) has proven to be challenging using open techniques.

https://www.arthrex.com/foot-ankle/deltoid-instability
The Deltoid Ligament Reconstruction Implant System provides a turnkey repair technique to treat this previously difficult to manage pathology using a TightRope ® and gold standard Bio-Tenodesis Screws. Utilizing the TightRope construct provides the benefit of cortical fixation and gives surgeons complete control of the final construct tension.

https://www.arthroscopytechniques.org/article/S2212-6287(23)00086-5/fulltext
After deltoid ligament reconstruction, the ankle is still kept in a neutral position and the sutures of the lateral ligaments are tension and knotted. Fig 6 Arthroscopic deltoid ligament reconstruction in rotational instability of the left ankle. The patient is in the supine position. The anteromedial portal is the viewing portal and the

https://www.orthoracle.com/library/ankle-instability-medial-deltoid-ligament-and-tibialis-posterior-sheath-repair-2/
Medial deltoid ligament reconstruction is notorious for its difficulty primarily due to its complex anatomical structure and the difficulties in being able to tension the ligament correctly. Re-ruptures in chronic cases are not infrequent because, suturing of degenerate ligament is difficult, as is the ability to securely attach a thickened and

https://www.arthroscopytechniques.org/article/S2212-6287(23)00086-5/pdf
The purpose of this Technical Note is to describe the details of arthroscopic deltoid ligament reconstruction in rotational ankle instability. This minimally invasive approach allows other associated lesions to be detected and managed arthroscopically. ligament injuries are frequently associated with ankle fracture.

https://my.clevelandclinic.org/health/body/22407-deltoid-ligament
The deltoid or medial ligament is a strong band of connective tissue that helps stabilize your inner ankle. It is one of many ankle ligaments that support this complex joint. A group of four ligaments (the medial collateral ligaments) makes up the deltoid ligament. Medial refers to the inside of your ankle. Deltoid means triangle-shaped.

https://radiologyinplainenglish.com/deltoid-ligament/
The deltoid ligament, also known as the medial ligament, is a strong, triangular band of fibrous tissue located on the inner side of the ankle. It connects the tibia (shinbone) to the bones of the foot, including the talus and the calcaneus. ... - **3D Reconstruction**: CT scans can create three-dimensional images of the ankle, providing a

https://boneandjoint.org.uk/Article/10.1302/1358-992X.2024.13.003
Deltoid ligament reconstruction (DLR) is an important factor in the consideration of pes planus deformity. There is little evidence in the literature determining whether DLR could mitigate the risk of patients acquiring flat foot postoperatively following deltoid ligament injury. Aim.

https://www.arthrex.com/resources/reference-chart/Ilc_vvFu0EuoCQFJqyEcVw/deltoid-ligament-reconstruction
Deltoid Ligament Reconstruction Tunnel Sites Button should rest 5 - 6 cm above joint line at anterior tibial crest Deep anterior tibiotalar ligament - 12.2 mm posterior/inferior from anteromedial corner of trochlea 6.0 mm anterior to distal center of intercollicular groove, tunnel depth of 30 - 40 mm Tibiocalcaneal ligament -

https://pubmed.ncbi.nlm.nih.gov/20663434/
We describe a novel technique that reconstructs both main limbs of the deltoid ligament in anatomic orientation while providing secure graft fixation. Materials and methods: Six pairs of fresh frozen cadaveric lower extremities were utilized. Matched right and left lower limbs (one pair) were allocated either to a deltoid reconstruction group

https://www.sciencedirect.com/science/article/pii/S0949265824001027
After subsequent improvements [19], the MLPP system has been established as a method for directly measuring ankle ligament strain patterns with the publication on the strain patterns of the superficial deltoid ligament and the normal and post-reconstruction ATFL and CFL [20, 21].

https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-024-02439-7
The anterior cruciate ligament (ACL) is the most commonly injured ligament of the knee [], impacting over 200,000 people in the US each year [].ACL reconstruction (ACLR) is the most effective treatment for ACL tears, however, the failure rate after 5 years is 53% and residual rotational instability after ACLR can lead to deterioration of knee function and patient dissatisfaction [3, 4].