Technique for Arthroscopic Deltoid Ligament Repair With Description of Safe Zones

Jorge I. Acevedo, Christopher Kreulen, Andres A. Cedeno, Daniel Baumfeld, Caio Nery, Peter G. Mangone

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Repair of the deltoid ligaments is suggested in patients with medial ankle instability after a ligamentous injury or lateral malleolar fracture fixation. Arthroscopy can be a definitive mode of determining whether there is medial instability and, therefore, help to determine whether there is a need to repair the deltoid ligaments. The authors describe a technique for the arthroscopic repair of the deltoid ligaments, using a suture passer and suture anchors. Cadaveric analysis was utilized to establish safe zones and indicate that there is a relatively wide safe zone between the posterior tibialis tendon and the saphenous vein when performing the technique. The authors have performed more than 87 arthroscopic deltoid repairs, with a greater than 90% satisfaction rate among patients. However, future studies with validated outcome measures are needed. Level of Evidence: Level V, expert opinion.

Original languageEnglish (US)
Pages (from-to)605-611
Number of pages7
JournalFoot and Ankle International
Issue number5
StatePublished - May 1 2020


  • ankle
  • arthroscopic ankle deltoid ligament repair
  • deltoid repair
  • ligaments

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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