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Modified Rerouting Procedure for Failed Peroneal Tendon Dislocation Surgery

  • Symposium: Recent Advances in Foot and Ankle Surgery
  • Published:
Clinical Orthopaedics and Related Research®

Abstract

Recurrent dislocation of the peroneal tendons following operative treatment is relatively uncommon, but can be difficult to treat. We asked whether subligamental transposition of the peroneus brevis tendon, fibular grooving, and reattachment of the superior peroneal retinaculum for failed peroneal tendon dislocation surgery would achieve a stable fixation of the peroneal tendons and whether there would be restrictions of ROM or instability of the hindfoot. We reviewed six female patients (mean age, 24.5 years) with general laxity of joints preoperatively and at 6 weeks and 3, 6, and 12 months postoperatively. Within 1 year postoperatively no recurrence was found. In two ankles the extension was restricted 5° to 10°. In another pronation and supination was restricted 5° each. Stability of the ankle increased in four patients and stayed unchanged in two. AOFAS score increased from a mean value of 36 ± 20.6 preoperatively to 90 ± 7 postoperatively at 1 year. We conclude transposition of the peroneus brevis tendon is a reasonable treatment for failed peroneal tendon dislocation surgery.

Level of Evidence: Level IV, therapeutic study (prospective case series). See Guidelines for Authors for a complete description of levels of evidence.

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Authors and Affiliations

  1. Trauma Department, Hannover Medical School (MHH), Carl-Neuberg-Str. 1, D-30625, Hannover, Germany

    R. Gaulke MD, F. Hildebrand MD, M. Panzica, T. Hüfner MD & C. Krettek MD, FRACS

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  1. R. Gaulke MD
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  2. F. Hildebrand MD
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  3. M. Panzica
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  4. T. Hüfner MD
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Correspondence to R. Gaulke MD.

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Each author certifies that his or her institution has approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

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Gaulke, R., Hildebrand, F., Panzica, M. et al. Modified Rerouting Procedure for Failed Peroneal Tendon Dislocation Surgery. Clin Orthop Relat Res 468, 1018–1024 (2010). https://doi.org/10.1007/s11999-009-0918-3

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  • DOI: https://doi.org/10.1007/s11999-009-0918-3

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