Arthroscopic approach to the spring (calcaneonavicular) ligament

Lui, Tun Hing; Mak, Chong Yin

doi:10.1016/j.fas.2017.02.012

Cited by 9 publications

(4 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…21-23,27 Lui et al 15 highlighted the benefit to confirm spring ligament tears before surgical exploration to avoid unnecessary procedures and later presented a talonavicular endoscopic approach for spring ligament and Deltoid ligament repair. 16 Lui and Mak 17 then described an accessory portal placed plantar to the sheath. In our series, we use a dorsal accessory portal to allow us to move the posterior tibial tendon and get a better view of the spring ligament, avoiding the complication of sliding into the flexor digitorum longus tendon sheath or compromising the medial plantar nerve.…”

Section: Discussionmentioning

confidence: 99%

The Potential of Endoscopic Spring Ligament Repair in Flatfoot Reconstruction

Masaragian¹,

Rega²,

Ameriso³

et al. 2023

Foot Ankle Int.

View full text Add to dashboard Cite

Background: Spring ligament fulfils 2 main important functions: one, supporting the head of the talus and stabilizing the talonavicular joint, and the other, maintaining the longitudinal arch by acting as a static support. In this preliminary report, we describe an endoscopic repair for spring ligament injuries with modified portals. Methods: We performed a retrospective case series study from February 2019 to January 2022. Posterior tibial tendon and/or associated bone deformities were assessed at the same surgical procedure. All patients were ≥18 years old and they had more than 6 months of follow-up. The procedure was performed in 11 patients. Mean age was 46 years (range 18-63). Ten had concomitant bony realignment surgery, and 8 had posterior tibial tendon surgery. Results: In all patients, endoscopic spring ligament repair could be technically done. The modified portals were used in all procedures as described in the surgical technique. Three patients had a superficial lesion, 1 had a rupture <5 mm, 7 had a rupture >5 mm but not a complete rupture through the entire spring ligament. Most of the patients had good clinical results from the surgery that included endoscopic spring ligament debridement and/or repair at 2 years follow up Conclusion: In this small series we found that endoscopy may be an effective technique to diagnose and treat incomplete spring ligament injuries. Level of Evidence: Level IV,retrospective case series.

show abstract

Section: Discussionmentioning

confidence: 99%

The Potential of Endoscopic Spring Ligament Repair in Flatfoot Reconstruction

Masaragian¹,

Rega²,

Ameriso³

et al. 2023

Foot Ankle Int.

View full text Add to dashboard Cite

show abstract

“… 2 Endoscopic assessment of spring ligament and repair are possible with the same reported endoscopic approach. 14 , 15 , 16 , 17 …”

Section: Discussionmentioning

confidence: 99%

“…In addition to the tendon transfer, spring ligament repair may be needed 2 . Endoscopic assessment of spring ligament and repair are possible with the same reported endoscopic approach 14, 15, 16, 17…”

Section: Discussionmentioning

confidence: 99%

Endoscopically Assisted Reconstruction of Posterior Tibial Tendon for Stage 2 Posterior Tibial Tendon Dysfunction

Liang

Lui²

2019

Arthroscopy Techniques

View full text Add to dashboard Cite

The posterior tibial tendon functions as a primary stabilizer of the medial longitudinal arch of the foot. Posterior tibial tendon dysfunction accounts for 80% of cases of adult-acquired flatfoot deformity. It is classified into 4 stages based on the function of the tibialis posterior tendon, the reducibility of the deformity, and the condition of the ankle joint. The purpose of this Technical Note is to describe the technical details of endoscopically assisted reconstruction of theposterior tibial tendon for stage 2 posterior tibial tendon dysfunction. It consists of using the medial half of the anterior tibialis tendon as a primary transfer and augmentation by the flexor digitorum longus. This construct is then protected with a subtalar arthroereisis.

show abstract

“…This can facilitate passage of the trocar-cannula and reduce the risk of medial plantar nerve injury ( Fig 5). 7 With the dorsolateral midtarsal portal as the viewing portal and the medial midtarsal portal as the working portal, the cartilage and subchondral bone of the medial part of the anterior talocalcaneal articulation are removed (Fig 6).…”

Section: Talocalcaneonavicular Arthroscopymentioning

confidence: 99%

Correction of Severe Flatfoot Deformity by 3-Portal Arthroscopic Triple Arthrodesis

Lui²

2020

Arthroscopy Techniques

View full text Add to dashboard Cite

Severe flatfoot deformity with lack of coverage of the talonavicular joint is frequently treated by triple arthrodesis. Various arthroscopic triple arthroscopic techniques have been described to reduce the extent of soft-tissue dissection. The purpose of this Technical Note is to describe the details of 3-portal arthroscopic triple arthrodesis for correction of severe flatfoot deformity. This approach allows thorough preparation of all fusion surfaces, and the bone removal by decortications facilitates reduction of the talonavicular joint and correction of the forefoot supination.

show abstract

Arthroscopic approach to the spring (calcaneonavicular) ligament

Abstract: The clinical relevance of this cadaver study is that it confirmed the feasibility of arthroscopic approach to the whole span of the spring ligament and alerted the potential risk of injury to the medial plantar nerve during arthroscopic assisted repair of the ligament.

Cited by 9 publications

References 29 publications

The Potential of Endoscopic Spring Ligament Repair in Flatfoot Reconstruction

The Potential of Endoscopic Spring Ligament Repair in Flatfoot Reconstruction

Endoscopically Assisted Reconstruction of Posterior Tibial Tendon for Stage 2 Posterior Tibial Tendon Dysfunction

Correction of Severe Flatfoot Deformity by 3-Portal Arthroscopic Triple Arthrodesis

Contact Info

Product

Resources

About