The complete spring ligament complex is the three-band plantar calcaneonavicular ligament system (superomedial, inferoplantar longitudinal, and inferoplantar oblique bands) that collectively supports the talar head and maintains medial arch integrity.
Provides the primary static support of the talar head from below, maintains the medial longitudinal arch in concert with tibialis posterior, and seals the medial talonavicular joint space.
Spring ligament complex failure in stage II AAFD requires comprehensive reconstruction — superomedial band plication or allograft reconstruction combined with FDL transfer and medial displacement calcaneal osteotomy produces the best outcomes.
Comprehensive spring ligament complex repair or reconstruction with allograft augmentation in stage II adult acquired flatfoot, addressing all three components for durable medial arch restoration.
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