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Foot Ankle Spec. 2013 Dec;6(6):441-5. doi: 10.1177/1938640013499404. Epub 2013 Aug 7.

Anatomical reconstruction of the spring ligament complex: "internal brace" augmentation.

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The Center for Bone and Joint Surgery of the Palm Beaches, Royal Palm Beach, Florida (JA).


The calcaneonavicular (spring) ligament complex is a critical static support of the medial arch of the foot. Compromise of this structure has been implicated as a primary causative factor of talar derotation leading to the clinical deformity of peritalar subluxation. Few procedures have been described to address this deficiency. The technique we describe here is a simple yet effective method to reconstruct the spring ligament complex that can easily be used in conjunction with other more commonly used procedures for extra-articular reconstructions of this deformity. We believe this procedure allows for a more powerful deformity correction and may decrease dependency on other nonanatomic reconstructive procedures.


calcaneonavicular ligament; deltoid ligament; flatfoot; posterior tibial tendon; spring ligament

[Indexed for MEDLINE]

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