Technique for Arthroscopic Deltoid Ligament Repair With Description of Safe Zones. (May 2020)

• Record Type: Journal Article
• Authors: Acevedo, Jorge I.; Kreulen, Christopher; Cedeno, Andres A.; Baumfeld, Daniel; Nery, Caio; Mangone, Peter G.
• Is Part Of: Foot & ankle international. Volume 41:Number 5(2020)
• Page Start: 605
• Page End: 611
• Publication Date: 2020-05
• Subjects: ankle -- ligaments -- arthroscopic ankle deltoid ligament repair -- deltoid repair; Foot -- Abnormalities -- Periodicals; Ankle -- Abnormalities -- Periodicals; Orthopedics -- Periodicals; 617.585
• DOI: 10.1177/1071100720909138
• Languages: English
• ISSNs: 1071-1007

Abstract

Repair of the deltoid ligaments is suggested in patients with medial ankle instability after a ligamentous injury or lateral malleolar fracture fixation. Arthroscopy can be a definitive mode of determining whether there is medial instability and, therefore, help to determine whether there is a need to repair the deltoid ligaments. The authors describe a technique for the arthroscopic repair of the deltoid ligaments, using a suture passer and suture anchors. Cadaveric analysis was utilized to establish safe zones and indicate that there is a relatively wide safe zone between the posterior tibialis tendon and the saphenous vein when performing the technique. The authors have performed more than 87 arthroscopic deltoid repairs, with a greater than 90% satisfaction rate among patients. However, future studies with validated outcome measures are needed. Level of Evidence: Level V, expert opinion.