We present a new method for reconstruction of chronic neglected tears of the deltoid ligament of the ankle joint, using half of the posterior tibialis tendon. This has been applied to 5 patients with an average follow-up of 6 years with very encouraging results. Five patients with a mean age of 28.2 years (range 23-50 years) visited us with chronic medial collateral ligament rupture. All were treated surgically where the deltoid ligament was reconstructed with half of the posterior tibialis tendon. Median time since injury was nine months (range 3-17 months), cause of rupture was sports injury and the preoperative AOFAS score 50,4 (range 48–64). All patients were followed up postoperatively for a mean of 3 years (range 1-5 years) and had a stable ankle with mean plantar flexion of 50° and dorsal flexion 20º. No complications occurred. The postoperative AOFAS score was 91,8 (range 85–97). Deltoid ligament reconstruction using half of the posterior tibialis tendon is an effective method of treatment for chronic neglected tears of the deltoid ligament. This treatment option has very good results, it closely mimics the anatomy of the deltoid ligament, the graft is strong, it is economical without the use of allografts and artificial grafts.
| Published in | Journal of Surgery (Volume 11, Issue 5) |
| DOI | 10.11648/j.js.20231105.16 |
| Page(s) | 119-123 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Ankle Sprains, Deltoid Ligament (DL), Autograft, Posterior Tibialis Tendon (PTT)
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APA Style
Ioannis Erginousakis, Vasileios Mitronatsios, Christos Stragalis, John Aifantis, Dimitrios Erginousakis. (2023). Isolated Chronic Deltoid Ligament Tear Reconstructed Surgically with Half of the Tibialis Posterior Tendon. Journal of Surgery, 11(5), 119-123. https://doi.org/10.11648/j.js.20231105.16
ACS Style
Ioannis Erginousakis; Vasileios Mitronatsios; Christos Stragalis; John Aifantis; Dimitrios Erginousakis. Isolated Chronic Deltoid Ligament Tear Reconstructed Surgically with Half of the Tibialis Posterior Tendon. J. Surg. 2023, 11(5), 119-123. doi: 10.11648/j.js.20231105.16
AMA Style
Ioannis Erginousakis, Vasileios Mitronatsios, Christos Stragalis, John Aifantis, Dimitrios Erginousakis. Isolated Chronic Deltoid Ligament Tear Reconstructed Surgically with Half of the Tibialis Posterior Tendon. J Surg. 2023;11(5):119-123. doi: 10.11648/j.js.20231105.16
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Download@article{10.11648/j.js.20231105.16,
author = {Ioannis Erginousakis and Vasileios Mitronatsios and Christos Stragalis and John Aifantis and Dimitrios Erginousakis},
title = {Isolated Chronic Deltoid Ligament Tear Reconstructed Surgically with Half of the Tibialis Posterior Tendon},
journal = {Journal of Surgery},
volume = {11},
number = {5},
pages = {119-123},
doi = {10.11648/j.js.20231105.16},
url = {https://doi.org/10.11648/j.js.20231105.16},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231105.16},
abstract = {We present a new method for reconstruction of chronic neglected tears of the deltoid ligament of the ankle joint, using half of the posterior tibialis tendon. This has been applied to 5 patients with an average follow-up of 6 years with very encouraging results. Five patients with a mean age of 28.2 years (range 23-50 years) visited us with chronic medial collateral ligament rupture. All were treated surgically where the deltoid ligament was reconstructed with half of the posterior tibialis tendon. Median time since injury was nine months (range 3-17 months), cause of rupture was sports injury and the preoperative AOFAS score 50,4 (range 48–64). All patients were followed up postoperatively for a mean of 3 years (range 1-5 years) and had a stable ankle with mean plantar flexion of 50° and dorsal flexion 20º. No complications occurred. The postoperative AOFAS score was 91,8 (range 85–97). Deltoid ligament reconstruction using half of the posterior tibialis tendon is an effective method of treatment for chronic neglected tears of the deltoid ligament. This treatment option has very good results, it closely mimics the anatomy of the deltoid ligament, the graft is strong, it is economical without the use of allografts and artificial grafts.
},
year = {2023}
}
TY - JOUR T1 - Isolated Chronic Deltoid Ligament Tear Reconstructed Surgically with Half of the Tibialis Posterior Tendon AU - Ioannis Erginousakis AU - Vasileios Mitronatsios AU - Christos Stragalis AU - John Aifantis AU - Dimitrios Erginousakis Y1 - 2023/10/31 PY - 2023 N1 - https://doi.org/10.11648/j.js.20231105.16 DO - 10.11648/j.js.20231105.16 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 119 EP - 123 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20231105.16 AB - We present a new method for reconstruction of chronic neglected tears of the deltoid ligament of the ankle joint, using half of the posterior tibialis tendon. This has been applied to 5 patients with an average follow-up of 6 years with very encouraging results. Five patients with a mean age of 28.2 years (range 23-50 years) visited us with chronic medial collateral ligament rupture. All were treated surgically where the deltoid ligament was reconstructed with half of the posterior tibialis tendon. Median time since injury was nine months (range 3-17 months), cause of rupture was sports injury and the preoperative AOFAS score 50,4 (range 48–64). All patients were followed up postoperatively for a mean of 3 years (range 1-5 years) and had a stable ankle with mean plantar flexion of 50° and dorsal flexion 20º. No complications occurred. The postoperative AOFAS score was 91,8 (range 85–97). Deltoid ligament reconstruction using half of the posterior tibialis tendon is an effective method of treatment for chronic neglected tears of the deltoid ligament. This treatment option has very good results, it closely mimics the anatomy of the deltoid ligament, the graft is strong, it is economical without the use of allografts and artificial grafts. VL - 11 IS - 5 ER -
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