Name: Flatfoot Repair With the InternalBrace™ Ligament Augmentation Procedure
Uploaded: 2014-05-22T00:00:00Z
Channel: Arthrex

Foot and Ankle

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PAN1-00064-en-US | E | Flatfoot Repair With the InternalBrace™ Ligament Augmentation Procedure

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Flatfoot Repair With the InternalBrace™ Ligament Augmentation Procedure

The Arthrex internal brace. Spring Ligament Augmentation Repair is a surgery for people who have flat foot due to weakness or rupture of the spring ligament or posterior tibial tendon. Spring ligament is the connecting tissue located under the foot that connects the calcaneus and navicular bone. This ligament is often repaired in people that have a condition called flat foot. It is when the arch of the foot collapses coming into contact with the ground. The repair begins with the surgeon making a cut on the side of the ankle, where the calcaneus, navicular bone, and medial cuneiform are located. Next, the surgeon will create a bone tunnel by drilling into the sustentaculum tally of the calcaneus using a guidewire and drill guide. The bone tunnel is made in the calcaneus to prepare for a SwiveLock suture anchor loaded with FiberTape. The SwiveLock anchor is screwed into place. Next, the FTL tendon, also known as flexor digitorum longus, located on the medial side of the leg, is identified, cut, and then tagged with a FiberLoop stitching technique. A bone tunnel is made in the navicular to prepare for an additional SwiveLock anchor. The ankle structures are tensioned and fixed into place by taking one part of the FiberTape and passing it from top to bottom with a suture passing wire. Then take the other part of the FiberTape with the sutures from the FTL tendon, and passing it from bottom to top. The surgeon then holds it in place by inserting the SwiveLock from bottom to top. The remaining sutures are cut. The supporting structures of the arch of the foot are now repaired and held together, with the internal brace, causing the arch of the foot to be restored.

Flatfoot Repair With the InternalBrace™ Ligament Augmentation Procedure

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