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Treatment of Recurrent Peroneal Tendon Dislocation by Peroneal Retinaculum Reattachment Without Fibular Groove Deepening

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Abstract
There are numerous studies recommending fibular groove deepening in the surgical treatment of peroneal tendon dislocation; however, there are some disadvantages to fibular groove deepening procedures. In this study, we evaluated the results of anatomic reattachment of the peroneal retinaculum without fibular groove deepening as a treatment for traumatic peroneal tendon dislocation. Thirty-six patients with recurrent peroneal tendon dislocation, who underwent retinaculum repair without a fibular groove deepening procedure performed by 2 surgeons between March 2004 and March 2017, were enrolled in this study. Resubluxation of tendon, pain on inversion and eversion power of the ankle were monitored. The range of motion of inversion and eversion were measured and then compared to that of the contralateral side. American Orthopedic Foot and Ankle Society (AOFAS), visual analog scale (VAS), Foot Function Index (FFI) scores were obtained for all patients preoperatively and at the final follow-up. Postoperative complications such as infection, sural nerve injury, and recurrence were monitored. Thirty-four patients fully recovered without resubluxation of tendon. Two patients were injured again while playing soccer 6 months after the surgery and fast running 20 months after the surgery respectively. One patient had sural nerve injury. But the symptom was relieved at 6 months after the surgery. None of the patients had weakness of evertor. None of the patients had limited ankle motion. Mean AOFAS, VAS, FFI score improved significantly (p = .02, .01, .02). In conclusion, for the treatment of recurrent dislocation of the peroneal tendon reattachment of the superior retinaculum only without groove deepening followed by proper rehabilitation is sufficient. (c) 2021 by the American College of Foot and Ankle Surgeons. All rights reserved.
Author(s)
박승환서재현이재형이호승최영락
Issued Date
2021
Type
Article
Keyword
AnkleSurgery
DOI
10.1177/2473011420S00377
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8684
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_doaj_primary_oai_doaj_org_article_5df79314bd6e45e4bf92f3811fbcfb4d&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Treatment%20of%20Recurrent%20Peroneal%20Tendon%20Dislocation%20by%20Peroneal%20Retinaculum%20Reattachment%20Without%20Fibular%20Groove%20Deepening&offset=0&pcAvailability=true
Publisher
JOURNAL OF FOOT ANKLE SURGERY
Location
미국
Language
영어
ISSN
1067-2516
Citation Volume
60
Citation Number
5
Citation Start Page
994
Citation End Page
997
Appears in Collections:
Medicine > Medicine
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