The delta-snook ankle ligament reconstruction for combined deltoid insufficiency and lateral ankle instability

BackgroundAnkle sprains are one of the most common injuries amongst general population and affect all spectrums activity levels. While anterior talofibular calcaneal fibular ligaments prevalently injured during there instances when chronic lateral ankle instability leads to rotational attenuate deltoid ligament. The few literature that exists concerning medial ligament reconstruction focus on an arthroscopic approach.AimThe goal this current work is describe a novel open surgical collateral through coupled repair.Surgical TechniqueA singular semitendinosus allograft utilized reconstruct deltoid, calcaneofibular ligaments. Canals reamed for anchoring malleolus, talar body, distal fibula, midline calcaneus. fibula calcaneus fully allow pull technique allograft. malleolus neck anchored first, followed by lastly All performed with in neutral position.ConclusionThis successfully describes repair. This affords surgeon greater control over final product allows repair position. also more anatomic less incidence stiffening at joint. authors’ have noted good results return full patients undergone procedure.