Reconstruction of a severe grinding injury to the medial malleolus and the deltoid ligament of the ankle using a free plantaris tendon graft and vascularized gracilis free muscle transfer: case report.

Whether or not to reconstruct deltoid ligament injuries of the ankle remains controversial. We present a case of deltoid ligament loss and an extensive overlying soft tissue defect from a grinding injury. The resultant gross medial ankle instability and soft tissue defect necessitated deltoid ligament reconstruction using a free plantaris tendon graft and soft tissue coverage using a free muscle transfer.