Chronic deltoid ligament insufficiency repair with Internal Brace™ augmentation.

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dc.coverageDOI: 10.1016/j.fas.2018.10.004
dc.creatorPellegrini, M. J.
dc.creatorTorres, N.
dc.creatorCuchacovich, N. R.
dc.creatorHuertas, P.
dc.creatorMuñoz, G.
dc.creatorCarcuro, G. M.
dc.date2020
dc.date.accessioned05-01-2026 18:03
dc.date.available05-01-2026 18:03
dc.descriptionBackground<br/>Patients with chronic deltoid ligament insufficiency (CDLI) present a challenging situation. Although numerous procedures have been described, optimal treatment is still a matter of debate. While the treatment armamentarium ranges from simple ligament repair to complex reconstructions with or without realignment osteotomies, direct repair augmented with an Internal Brace™ device appears to be an attractive intermediate option. We investigated functional outcomes and complications in patients with CDLI operated on using Internal Brace™ augmentation.<br/><br/>Methods<br/>A prospective study was conducted. Patients were included if they presented medial ankle pain and/or giving way, exhibited asymmetric flexible hindfoot valgus, failed conservative treatment, and had a positive MRI evaluated by an independent radiologist. Patients with stage IV flatfoot deformity, neuropathy and/or inflammatory arthritis were excluded. CDLI was confirmed intraoperatively with the arthroscopic drive-through sign. Patients were evaluated preoperatively and postoperatively using FAAM, SF-36 and grade of satisfaction. Paired t-tests were used to assess FAAM and SF-36 scores variation.<br/><br/>Results<br/>Thirteen patients met inclusion criteria. No patient was lost to follow-up, with a mean follow-up time of 13.5 months (range 6-21). Preoperative FAAM and SF-36 scores improved from 58.7 to 75.3 and from 60.2 to 84.4 postoperatively, respectively (p&lt;.01). Two implant failures were observed, with no apparent compromise of construct stability. No patient was re-operated.<br/><br/>Conclusions<br/>Our results suggest that deltoid ligament repair with Internal Brace™ augmentation in patients with CDLI is a reliable option with good functional outcomes and high satisfaction grade in short term follow-up.spa
dc.identifierhttps://investigadores.uandes.cl/en/publications/04f19e94-17dd-44bd-9371-c1d5116087bd
dc.languageeng
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourcevol.26 (2020) nr.7 p.835
dc.subjectAnkle instability
dc.subjectAugmentation
dc.subjectChronic deltoid ligament insufficiency
dc.subjectInternal Brace
dc.titleChronic deltoid ligament insufficiency repair with Internal Brace™ augmentation.eng
dc.typeArticleeng
dc.typeArtículospa
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