Modified Rerouting Procedure for Failed Peroneal Tendon Dislocation Surgery

Gaulke, Ralph; Hildebrand, Frank; Panzica, Martin; Hüfner, T.; Krettek, Christian

doi:10.1007/s11999-009-0918-3

Cited by 6 publications

(4 citation statements)

References 35 publications

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“…The bularis brevis, the fascia and the Achilles tendon [19] may also strengthen the retinaculum. In fact, many surgical methods can be used to reconstruct the tendon [20], although most of them use the calcaneo bular ligament to stabilize the peroneal tendon. For injured athletes, we did not adopt the soft tissue graft repair method nor the peroneal tendon re-routing method.…”

Section: Discussionmentioning

confidence: 99%

EGR1 Regulates the Thickning of The Peroneal Tendon in Taekwondo Athletes by Activating the STAT3 Pathway, Thereby Increasing the Risk of Dislocation

Wang

Zhang

et al. 2022

Preprint

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Background Taekwondo is a very popular sport today. Due to higher training intensity, ankle instability and PTD are common among Taekwondo athletes which may ruin their careers. However, the risk factors and mechanisms of the disease, appropriate treatment methods or preventive measures have not been systematically studied, and this research aims to solve these problems. Methods A large number of Taekwondo athletes have undergone long-term specialist examinations, treatments and postoperative follow-ups. Intraoperative observation and imaging evidence confirmed that the width of the peroneal tendon of Taekwondo athletes was significantly higher than that of the general population, which is one of the cause of PTD.While giving to athletes surgical treatment(multiple reviet technique), we obtained the extraneous tissue in the thickened part of the peroneal tendon from some athletes for follow-up experimental research. Results We found that the concentration of IL-20 in the matrix is relative higher in the thickened peroneal tendon, and it is positively correlated with the expression of EGR1 in fibroblasts, while the dysregulation of EGR1 will activate STAT3 Pathway, and regulate the thickening of the peroneal tendon in a variety of ways.Based on the professional characteristics of athletes ,the high incidence of PTD among Taekwondo athletes makes it more important to prevent it. According to the experience of Chinese orthopedics, Astragalus polysaccharide is creatively used as a preventive drug to some athletes who have a high risk of PTD, it was found that the use of APS had a satisfactory effect on delaying the thickening of the peroneal tendon of athletes and reducing the incidence of dislocation. At the same time, the preventive effect of APS was confirmed through several groups of clinical cases, and the mechanism of APS to prevent PTD was also speculated. Conclusions EGR1 regulates the thickning of the peroneal tendon in Taekwondo athletes by activating the STAT3 pathway, the importance of prophylactic useof APS to reduce the thickening of the peroneal tendon.

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Section: Discussionmentioning

confidence: 99%

EGR1 Regulates the Thickning of The Peroneal Tendon in Taekwondo Athletes by Activating the STAT3 Pathway, Thereby Increasing the Risk of Dislocation

Wang

Zhang

et al. 2022

Preprint

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“…Operative treatment of recurrent peroneal tendons instability is well‐established, and a lot of techniques have been described [1, 3, 5, 7–9, 11, 12, 18]. Results of different techniques seem to be equivalent with a very high rate of success and return to sports after surgery [21].…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopic peroneal retinaculum reconstruction has also been described [6, 12]. Bony techniques consist of tendon rerouting techniques utilising the bony attachment [5], retro‐malleolar groove impaction and fibular grooving [9].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic fibular groove deepening for stabilisation of recurrent peroneal tendons instability in a patient with open physes

Maqdes

Steltzlen

Pujol

2016

Knee Surg Sports Traumatol Arthrosc

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This is a report of a rare case of recurrent traumatic peroneal tendon dislocation in a patient with open physes. Through fibular tendon endoscopy, an intramuscular needle was introduced under direct visualisation and implanted inferiorly to the growth plate while reclining the tendons posteriorly. A fibular groove deepening was performed in order to stabilize the tendons. The patient was able to return to full activity after 3 months. MRI taken 12 months after surgery showed neither signs of recurrence of the lesion nor growth plate disturbance. This is a first case report of peroneal tendons stabilisation by tendoscopic retro-malleolar groove deepening in a child. Level of evidence Case report, Level IV.

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“…Recurrent peroneal tendon dislocation often responds poorly to conservative treatment and requires operative repair [5,6]. To date, various operative techniques have been described, such as the bone block procedure [4], reattachment of the superior peroneal retinaculum (SPR) [7][8][9][10], reconstruction of the SPR [11][12][13][14][15][16], rerouting procedures [17] and groove deepening procedures [9,18,19]. Based on the aetiology and the anatomical predisposing factors, the bone block procedure and the reattachment of the SPR with or without groove deepening are the most frequently performed [20].…”

Section: Introductionmentioning

confidence: 99%

Reattachment of the superior peroneal retinaculum versus the bone block procedure for the treatment of recurrent peroneal tendon dislocation: two safe and effective techniques

Deng

Shi

Chen

et al. 2019

Knee Surg Sports Traumatol Arthrosc

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Purpose Clinical outcomes between reattachment of the superior peroneal retinaculum (SPR) and the bone block procedure were compared in this study to elucidate which procedure was safer and more effective. Methods From 2012 to 2016, 25 patients with recurrent peroneal tendon dislocation underwent the bone block procedure (group A), and another 22 patients underwent reattachment of the SPR (group B). American Orthopaedic Foot and Ankle Society (AOFAS) ankle‐hindfoot score, Ankle Activity Score (AAS), time to return to sports activity, rate of return to sports level, range of motion (ROM) of the ankle, rate of recurrence, and overall patient satisfaction were collected to evaluate outcomes between the two groups. Results In group A, 24 patients followed up at a mean period of 42.5 ± 16.7 months. The mean postoperative AOFAS score was 92.9 ± 3.9. The median time to return to sports activity was 6.0 months (IQR 4.3–6.0 months) with 19 patients (79.2%) returning to their previous sports level. Two patients experienced recurrent dislocation, and 22 patients (91.7%) were satisfied with the procedure. In group B, 20 patients followed up at a mean period of 35.8 ± 15.3 months. The mean postoperative AOFAS score was 95.0 ± 4.2. The median time to return to sports activity was 5.0 months (IQR 4.0–5.0 months) with 18 patients (90.0%) returning to their previous sports level. No recurrence was reported, and 18 patients (90.0%) were satisfied with the procedure. The time to return to sports activity in group B was significantly shorter than that in group A. There was no significant difference in complications or clinical outcomes between the two procedures. Conclusion Both procedures offered satisfactory results for recurrent peroneal tendon dislocation with low rates of recurrence and complications. However, the time to return to sports activity after the reattachment of the SPR was shorter than that after the bone block procedure. Level of evidence Retrospective Comparative Study, Level III.

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Modified Rerouting Procedure for Failed Peroneal Tendon Dislocation Surgery

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

Cited by 6 publications

References 35 publications

EGR1 Regulates the Thickning of The Peroneal Tendon in Taekwondo Athletes by Activating the STAT3 Pathway, Thereby Increasing the Risk of Dislocation

EGR1 Regulates the Thickning of The Peroneal Tendon in Taekwondo Athletes by Activating the STAT3 Pathway, Thereby Increasing the Risk of Dislocation

Endoscopic fibular groove deepening for stabilisation of recurrent peroneal tendons instability in a patient with open physes

Reattachment of the superior peroneal retinaculum versus the bone block procedure for the treatment of recurrent peroneal tendon dislocation: two safe and effective techniques

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