Spring Ligament Complex and Flatfoot Deformity: Curse or Blessing?

Deland, Johnathan T.

doi:10.3113/fai.2012.0239

Cited by 24 publications

(12 citation statements)

References 9 publications

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“…If the LCL is able to correct the deformity to <50% of its original amount, spring ligament reconstruction is most commonly successful as long as it is combined with good correction of the heel. 12,15,16 …”

Section: Indications and Contraindicationsmentioning

confidence: 98%

“…The severe flexible deformities, which cannot be corrected adequately by an LCL, commonly have severe insufficiency at the spring ligament complex and greater radiologic deformity than outlined above. [12][13][14] To be corrected by an LCL, the deformity must be flexible and have enough spring ligament remaining to act as a "hinge," allowing the deformity to correct to a normal position from lengthening the lateral column. Tear of the spring ligament is not by itself a contraindication for LCL.…”

Section: Indications and Contraindicationsmentioning

confidence: 99%

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Lateral Column Lengthening and How to Achieve Good Correction

Mani

Deland

2014

Techniques in Foot &Amp; Ankle Surgery

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Lateral column lengthening (LCL) is a procedure that has been used for many years to address flatfoot deformity. However, it is associated with several risks including overcorrection and excessive stiffness. LCL is often preferred over hindfoot fusions as it preserves motion. Herein, LCL, by way of using the stepcut osteotomy, is described in detail. Use of operative guidance tools, such as trial metal wedges and a hindfoot alignment radiographic assessment can significantly improve correction of the deformity, leading to more successful outcomes. Auxiliary procedures that may be combined with LCL such as medial slide calcaneal osteotomy and spring ligament reconstruction are discussed as well.

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Section: Indications and Contraindicationsmentioning

confidence: 98%

Section: Indications and Contraindicationsmentioning

confidence: 99%

Lateral Column Lengthening and How to Achieve Good Correction

Mani

Deland

2014

Techniques in Foot &Amp; Ankle Surgery

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“…Все-таки в подавляющем боль-шинстве случаев выполняются комбинирован-ные операции, а какая из них сыграла решаю-щую роль в устранении деформации, не всегда понятно. Ряд авторов считают, что восстановле-ние «spring» связки показано пациентам, у ко-торых при удлинении наружной колонны сто-пы не удается добиться достаточной коррекции в таранно-ладьевидном суставе [17].…”

Section: хирургическое лечение плоско-вальгусных деформаций стопunclassified

“…Чаще всего от-мечается более 30% недопокрытия в таранно-ладьевидном суставе. это также определяется более выраженной недостаточностью «spring» связки, что сопровождается вторичным опуще-нием арки продольного свода [17]. это приво-дит к значительной абдукции переднего отдела стопы.…”

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Adult Acguired Flatfoot Deformity (Review)

Bulatov

Emel'yanov

Емельянов³

et al. 2017

Traumatology and Orthopedics of Russia

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Flatfoot deformity represents a complex pathology often observed in active adult population. Conservative treatment does not always yield the intended outcome. Various surgical methods addressing mentioned pathology were actively developing during past decades. However, despite diversity of procedures there are many contradictions in respect of necessity and efficiency of a certain procedure especially in grades II and IV of the disease. The paper presents clinical, roentgenological and biomechanical features of acquired flatfoot deformity. The authors analyzed literature publications dedicated to different correction methods adopted in world orthopaedics.

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“…If the patient has adequate correction and good eversion motion, then the spring ligament is not reconstructed. Conversely, if the correction is inadequate, a spring ligament reconstruction is performed to maintain normal eversion motion by avoiding larger lateral column grafts [49]. In our experience [50••], spring ligament reconstruction using a peroneus longus autograft tendon transfer has yielded very good clinical and radiographic results at a mean of 9 years after surgery.…”

Section: Stage Iiamentioning

confidence: 99%

Approach and treatment of the adult acquired flatfoot deformity

Vulcano

Deland

Ellis

2013

Curr Rev Musculoskelet Med

101

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Adult acquired flatfoot deformity (AAFD), embraces a wide spectrum of deformities. AAFD is a complex pathology consisting both of posterior tibial tendon insufficiency and failure of the capsular and ligamentous structures of the foot. Each patient presents with characteristic deformities across the involved joints, requiring individualized treatment. Early stages may respond well to aggressive conservative management, yet more severe AAFD necessitates prompt surgical therapy to halt the progression of the disease to stages requiring more complex procedures. We present the most current diagnostic and therapeutic approaches to AAFD, based on the most pertinent literature and our own experience and investigations.

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Spring Ligament Complex and Flatfoot Deformity: Curse or Blessing?

Abstract: For information on pricing and availability of reprints, call 410-494-4994 x232.

Cited by 24 publications

References 9 publications

Lateral Column Lengthening and How to Achieve Good Correction

Lateral Column Lengthening and How to Achieve Good Correction

Adult Acguired Flatfoot Deformity (Review)

Approach and treatment of the adult acquired flatfoot deformity

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