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

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


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.

Keywords: calcaneonavicular ligament; deltoid ligament; flatfoot; posterior tibial tendon; spring ligament.

MeSH terms

  • Ankle Joint / diagnostic imaging
  • Ankle Joint / physiopathology*
  • Ankle Joint / surgery
  • Braces
  • Female
  • Flatfoot / diagnostic imaging
  • Flatfoot / etiology
  • Flatfoot / surgery*
  • Follow-Up Studies
  • Humans
  • Joint Instability / prevention & control
  • Joint Instability / surgery*
  • Lateral Ligament, Ankle / diagnostic imaging
  • Lateral Ligament, Ankle / physiopathology
  • Lateral Ligament, Ankle / surgery*
  • Male
  • Orthopedic Procedures / methods
  • Osteotomy / methods
  • Postoperative Care / methods
  • Radiography
  • Range of Motion, Articular / physiology*
  • Reconstructive Surgical Procedures / methods*
  • Recovery of Function
  • Risk Assessment
  • Treatment Outcome