Tomohiro Matsui1, Tsukasa Kumai2, Yasushi Shinohara3, Noriyuki Kanzaki4, Koji Noguchi5, Hirofumi Tanaka6, Takeshi Sugimoto7, Hiroki Yabiku8, Ichiro Higashiyama9. 1. Department of Orthopaedic Surgery, Saiseikai Nara Hospital, Nara, Japan. 2. Faculty of Sports Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa city, Saitama, Japan. kumakumat@waseda.jp. 3. Faculty of Sport and Health Science, Ritsumeikan University, Kusatsu, Japan. 4. Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. 5. Department of Orthopaedic Surgery, Kurume University Medical Center, Kurume, Japan. 6. Department of Orthopaedic Surgery, Hyakutake Orthopaedic & Sports Clinic, Saga, Japan. 7. Department of Orthopaedic Surgery, Maki Orthopaedic Hospital, Osaka, Japan. 8. Faculty of Sports Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa city, Saitama, Japan. 9. Department of Orthopaedic Surgery, Matsukura Hospital, Nara, Japan.
Abstract
PURPOSE: To evaluate the usefulness of the false-pouch closure technique with an intact superior peroneal retinaculum (SPR). METHODS: From 2016 to 2020, 30 patients with recurrent dislocation of the peroneal tendon were treated with the current procedure. Clinical outcomes, including the time to resume running, the rate and time to return to sports, and the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hind Foot score, were evaluated preoperatively and at the last follow-up. RESULTS: The rate of return to the pre-injury level of sports activity was 93.3%, and the mean duration to return to running and sports was 8.0 ± 2.8 weeks (range: 3-12 weeks) and 14.4 ± 3.2 weeks (range: 10-24 weeks), respectively. The mean preoperative AOFAS score was 79.7 ± 9.6 points (range: 41-90), which improved significantly to 98.9 ± 3.2 (87-100) postoperatively (p < 0.01). CONCLUSION: The false-pouch closure technique with suture tape and anchors had a reliable clinical outcome and can enable the early return of patients to their sports activities. LEVEL OF EVIDENCE: IV, Case series.
PURPOSE: To evaluate the usefulness of the false-pouch closure technique with an intact superior peroneal retinaculum (SPR). METHODS: From 2016 to 2020, 30 patients with recurrent dislocation of the peroneal tendon were treated with the current procedure. Clinical outcomes, including the time to resume running, the rate and time to return to sports, and the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hind Foot score, were evaluated preoperatively and at the last follow-up. RESULTS: The rate of return to the pre-injury level of sports activity was 93.3%, and the mean duration to return to running and sports was 8.0 ± 2.8 weeks (range: 3-12 weeks) and 14.4 ± 3.2 weeks (range: 10-24 weeks), respectively. The mean preoperative AOFAS score was 79.7 ± 9.6 points (range: 41-90), which improved significantly to 98.9 ± 3.2 (87-100) postoperatively (p < 0.01). CONCLUSION: The false-pouch closure technique with suture tape and anchors had a reliable clinical outcome and can enable the early return of patients to their sports activities. LEVEL OF EVIDENCE: IV, Case series.
Authors: Pim A D van Dijk; Arianna L Gianakos; Gino M M J Kerkhoffs; John G Kennedy Journal: Knee Surg Sports Traumatol Arthrosc Date: 2015-10-30 Impact factor: 4.342