Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Peroneal Tendon Repair in Sports Injury

스포츠 손상 후 비골건 봉합술

  • Young, Ki Won (Department of Foot and Ankle Surgery, Eulji Medical Center, Eulji University) ;
  • Park, Ki Chol (Department of Foot and Ankle Surgery, Eulji Medical Center, Eulji University) ;
  • Hwang, Ji Sun (Department of Foot and Ankle Surgery, Eulji Medical Center, Eulji University) ;
  • Lee, Hong Seop (Department of Foot and Ankle Surgery, Eulji Medical Center, Eulji University)
  • 양기원 (을지대학교 을지병원 족부족관절정형외과) ;
  • 박기철 (을지대학교 을지병원 족부족관절정형외과) ;
  • 황지선 (을지대학교 을지병원 족부족관절정형외과) ;
  • 이홍섭 (을지대학교 을지병원 족부족관절정형외과)
  • Received : 2019.06.28
  • Accepted : 2019.08.28
  • Published : 2019.09.15
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Abstract

Purpose: This study examined the clinical outcomes and assessed the average time to return to play following a peroneal tendon repair in Korean athletes. Materials and Methods: Between March 2004 and February 2017, a total of 30 athletes underwent peroneal tendon repair for a peroneal tendon tear. The indications of surgical treatment were chronic pain or intractable symptoms after a previous ankle sprain affecting sports activity refractory to conservative treatment for at least six months. The patient underwent tubulization for a longitudinal tendon rupture. Peroneus longus to peroneus brevis tenodesis was performed when tendon repair was impossible due to total rupture or multiple longitudinal rupture. Results: Twenty patients not included in this study were as follows: insufficient follow-up, previous surgery, and additional bone surgery. All 10 patients had a previous ankle sprain history, tenderness and swelling on the retromalleolar area. In the 10 patient population, there were five peroneus brevis tendon tears, three peroneus longus tendon tears, one peroneus longus and brevis tendon tear, and one peroneus brevis and superior peroneal retinaculum tear. In the 10 patients, six cases of peroneal brevis tendon repair and four cases of peroneal longus to brevis tenodesis were performed. The preoperative American Orthopaedic Foot and Ankle Society score was improved from a mean of 60.6 (standard deviation [SD], 8.64) to a mean of 90.2, postoperatively (SD, 4.4; p<0.012). The preoperative visual analogue scale was improved from a mean of 5.43 (SD, 1.2) to 0.5 (SD, 0.16), postoperatively (p<0.023). The mean length of time to return to play was 12.2 weeks (range, 8~16 weeks). Conclusion: Peroneal tendon tear can occur due to sports injuries. If there is tenderness at the retromalleolar area, the surgeon should consider a peroneal tendon lesion. Surgical repair of the peroneal tendon can be an effective treatment to help athletes to return to play.

Keywords

References

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