Indications for Deltoid and Spring Ligament Reconstruction in Progressive Collapsing Foot Deformity

Jonathan T. Deland, Scott J. Ellis, Jonathan Day, Cesar de Cesar Netto, Beat Hintermann, Mark S. Myerson, Bruce J. Sangeorzan, Lew C. Schon, David B. Thordarson, Jeffrey E. Johnson

Research output: Contribution to journalReview articlepeer-review

18 Scopus citations


Recommendation: There is evidence supporting medial soft tissue reconstruction, such as spring and deltoid ligament reconstructions, in the treatment of severe progressive collapsing foot deformity (PCFD). We recommend spring ligament reconstruction to be considered in addition to lateral column lengthening or subtalar fusion at the initial operation when those procedures have given at least 50% correction but inadequate correction of the severe flexible subluxation of the talonavicular and subtalar joints. We also recommend combined flatfoot reconstruction and deltoid reconstruction be considered as a joint sparing alternative in the presence of PCFD with valgus deformity of the ankle joint if there is 50% or more of the lateral joint space remaining. Level of Evidence: Level V, expert opinion.

Original languageEnglish
Pages (from-to)1302-1306
Number of pages5
JournalFoot and Ankle International
Issue number10
StatePublished - Oct 1 2020


  • AAFD
  • PCFD
  • adult-acquired flatfoot deformity
  • flatfoot
  • progressive collapsing foot disorder
  • spring ligament


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