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It is currently unclear how injury to the spring ligament (SL) affects the preoperative presentation of adult acquired flatfoot deformity (AAFD) or the outcome of operative reconstruction. The purposes of this study were to assess the preoperative features and pre- or postoperative function of patients who underwent direct operative repair of an SL tear compared to those without a tear. 86 patients undergoing operative correction of grade 2B AAFD by a single fellowship-trained foot and ankle orthopedic surgeon were reviewed at an avera