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

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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.

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Data availability

Presented in the manuscript.

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Acknowledgements

We would like to thank AJE Author Services for hel** us to improve our manuscript language in English writing.

Funding

This study was supported by the project of 940th Hospital of Joint Logistic Support Force of Chinese People’s Liberation Army (No: 2021yxky012).

Author information

Author notes

  1. Peng Zhang, ShenSong Li, Yang Liu and Peng Zhou contributed equally to this work.

Authors and Affiliations

  1. Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 200040, China

    Peng Zhang & ZiFan Lin

  2. Department of Sports Medicine, The 940Th Hospital of Joint Logistic Support Force of Chinese People’s Liberation Army, Gansu, 730050, China

    ShenSong Li & Peng Zhou

  3. Lintong Rehabilitation and Convalescent Center Joint Logistic Support Force of Chinese People’s Liberation Army, Shaanxi, China

    Yang Liu

  4. Department of Trauma Orthopaedic, Gansu Province Central Hospital, Gansu, 730050, China

    YinShuan Deng

Authors
  1. Peng Zhang
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Contributions

All authors contributed to the study conception and design. Data collection and analysis were performed by Yang Liu, ShenSong Li and ZiFan Lin. The first draft of the manuscript was written by Peng Zhang, YinShuan Deng and Peng Zhou. All authors read and approved the final manuscript.

Corresponding authors

Correspondence to YinShuan Deng or Peng Zhou.

Ethics declarations

Ethics approval

This study was approved by the ethics committee of (NO 2021KYLL114).

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Written informed consent was obtained in all patients and signed copy was retained for records.

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All the authors provide full consent to publish the study findings in your journal (International Orthopaedics).

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The authors have declared that there are no competing interests.

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Zhang, P., Li, S., Liu, Y. et al. Modified posterior fibular groove deepening procedure with repair of the superior peroneal retinaculum for peroneal tendon subluxation. International Orthopaedics (SICOT) 47, 1259–1265 (2023). https://doi.org/10.1007/s00264-023-05750-9

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  • DOI: https://doi.org/10.1007/s00264-023-05750-9

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