Reconstruction of the Deltoid-Spring Ligament

Various surgical techniques of deltoid ligament and spring ligament reconstructions in advanced adult-acquired flatfoot deformity have been described. However, none has reported a simultaneous anatomic reconstruction of both the deltoid and spring ligaments. Advanced adult-acquired flatfoot deformity patients often present with combined deltoid and spring ligaments insufficiency, which should be addressed simultaneously to provide adequate correction and maintain static ligamentous stability. We describe a novel anatomic reconstruction of the tibiocalcaneonavicular ligament with peroneus longus allograft. This is the first surgical technique to reconstruct both the deltoid and spring ligament complex. Level of Evidence: Diagnostic Level 5, expert opinion. See Instructions for Authors for a complete description of levels of evidence.