Summary: The repair of the deltoid complex and the low morbidity of the arthroscopic technique used can improve the clinical outcomes of these patients.

Introduction

Diagnosis and treatment of ankle medial ligament lesions in malleolar fractures has always been a matter of controversy. Even when deltoid involvement is clear, the direct repair of this structure is not a consensus. Recently, deltoid reparation through an arthroscopic technique was described aiming to potentialize better clinical results and minimize complications.

Objective

Demonstrate functional results of operated ankle fractures that had an arthroscopic deltoid repair.

Methods

This is a retrospective study in patients diagnosed with ankle fractures associated with acute deltoid injuries and submitted to a malleolar fixation and deltoid arthroscopic repair between June 2016 and January 2020. All patients filled an epidemiological questionnaire and were evaluated for pain and function according to the Visual Analogue Scale (VAS) and the American Orthopedic Foot and Ankle Society Score (AOFAS) at follow-up.

Results

Between January 2016 and January 2020, 20 ankles with fractures or dislocations were operated and the deltoid ligament rupture was repaired arthroscopically. A mean follow-up of 14 months (5-48) was observed and patients presented an average AOFAS of 93.5 (SD 7.25) and a VAS of 0.75 (SD 1.05). Three minor complications were noticed and no signs of medial chronic instability, loss of reduction or osteoarthritis were observed.

Discussion

The repair of the deltoid complex and the low morbidity of the arthroscopic technique used can improve the clinical outcomes of these patients. Additional studies, with a prospective and comparative methodology are required to sustain this proposal.

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Deltoid Ligament Arthroscopic Repair In Ankle Fractures: Case Series

Deltoid Ligament Arthroscopic Repair In Ankle Fractures: Case Series

Introduction

Objective

Methods

Results

Discussion

More 2021 Congress Ankle/Foot Abstract Presentations

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Deltoid Ligament Arthroscopic Repair In Ankle Fractures: Case Series

Deltoid Ligament Arthroscopic Repair In Ankle Fractures: Case Series

Introduction

Objective

Methods

Results

Discussion

More ISAKOS 2021: Global Content