Acute Deltoid Ligament Repair in Ankle Fractures

Morphological classification and clinical significance of medial malleolus based on computed tomography three-dimensional reconstruction

“…Therefore, the treatment of deltoid ligament injury is the key to restore the function of the ankle joint. At present, the treatment of deltoid ligament injury in China mainly uses the suture anchor to repair the ligament [20,21]. In foreign countries, ligament reconstruction is the main therapeutic method [18,19].…”

“…In clinical practice, fracture reduction and internal fixation is one of the most frequently surgery methods used for medial malleolus fracture at present. While for deltoid ligament injury, deltoid ligament reconstruction is the most common choice in foreign countries [18,19], and repair of the triangular ligament is the most common choice in China [20,21].…”

Arthroscopically Assisted Reduction and Fixation of Deltoid Ligament Avulsion Fracture From Medial Malleolus

“… 1 , 3 , 4 , 5 The ligament plays an important role in maintaining concentric talus reduction within the ankle mortise and stabilizes the ankle joint against eversion, external rotation, and plantar flexion forces. 1 , 6 , 7 , 8 However, there is no consensus on the optimal treatment of ruptured deltoid ligament in bimalleolar equivalent ankle fractures, and there is no evidence proving superiority of suturing the deltoid ligament in all ruptures. 1 , 2 , 4 , 5 , 6 , 7 , 9 Deltoid ligament repair may be indicated in bimalleolar equivalent fractures with extensive capsuloligamentous damage, combined syndesmotic and deltoid insufficiency, or multiligamentous/multidirectional instability, especially in heavier patients with greater mechanical requirements.…”

“… 1 , 6 , 7 , 8 However, there is no consensus on the optimal treatment of ruptured deltoid ligament in bimalleolar equivalent ankle fractures, and there is no evidence proving superiority of suturing the deltoid ligament in all ruptures. 1 , 2 , 4 , 5 , 6 , 7 , 9 Deltoid ligament repair may be indicated in bimalleolar equivalent fractures with extensive capsuloligamentous damage, combined syndesmotic and deltoid insufficiency, or multiligamentous/multidirectional instability, especially in heavier patients with greater mechanical requirements. 6 , 7 This can be manifested as persistent external rotation or valgus instability after anatomic fibula fixation.…”

“… 1 , 2 , 4 , 5 , 6 , 7 , 9 Deltoid ligament repair may be indicated in bimalleolar equivalent fractures with extensive capsuloligamentous damage, combined syndesmotic and deltoid insufficiency, or multiligamentous/multidirectional instability, especially in heavier patients with greater mechanical requirements. 6 , 7 This can be manifested as persistent external rotation or valgus instability after anatomic fibula fixation. 10 In this case, deltoid ligament repair enhances ankle stability and improves the quality of MCS and ankle reduction.…”