Modified posterior fibular groove deepening procedure with repair of the superior peroneal retinaculum for peroneal tendon subluxation

Int Orthop. 2023 May;47(5):1259-1265. doi: 10.1007/s00264-023-05750-9. Epub 2023 Mar 7.

Abstract

Purpose: To evaluate the clinical results of modified peroneal sulcus deepening combined with superior peroneal retinaculum repair in peroneal tendon subluxation treatment.

Methods: From 2016 to 2020, 18 patients with peroneal tendon subluxation were diagnosed and treated; all patients underwent modified peroneal sulcus deepening combined with superior peroneal retinaculum repair. The visual analogue scale (VAS) score, American Orthopaedic Foot and Ankle Society ankle-hindfoot (AOFAS-AH) score, and subjective patient satisfaction were evaluated before surgery and during follow-up.

Results: The operative time was 66.44 ± 5.22 min. All patients' surgical incisions showed grade A healing, and there were no complications. All patients were followed up for 24-48 months; no patients were lost to follow-up. At the last follow-up, the VAS and AOFAS-AH scores were significantly improved compared with those pre-operatively (P < 0.05). There was no significant difference in the activity of the 18 patients between pre- and post-operatively, and all patients recovered their normal gait before injury.

Conclusion: Modified fibular groove deepening combined with superior peroneal retinaculum repair for treating peroneal tendon subluxation may be a simple operation with minimal trauma, rapid recovery, and good clinical efficacy.

Keywords: Peroneal sulcus deepening; Peroneal tendon subluxation; Superior peroneal retinaculum.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Ankle / surgery
  • Ankle Injuries* / surgery
  • Humans
  • Orthopedic Procedures* / adverse effects
  • Orthopedic Procedures* / methods
  • Tendon Injuries* / surgery
  • Tendons / surgery