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2018, Number 2

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Acta Med 2018; 16 (2)

Evaluation of the deepening of the peroneal sulcus with posterior osteocartilaginous flap in 6 patients

Sancho BF, Strassburger WJ, Castillo AV
Full text How to cite this article

Language: Spanish
References: 10
Page: 114-119
PDF size: 231.22 Kb.


Key words:

Peroneal tendon dislocation and subluxation, fibular groove deepening, posterior osteocartilaginous flap, retinaculum repair.

ABSTRACT

The objective of this study is to evaluate pain, function and complications after groove deepening with a posterior osteocartilaginous flap as a treatment for peroneal tendon dislocation. We studied 6 patients diagnosed with chronic unilateral peroneal tendon dislocation. We evaluated pain, with the Analog Visual Scale (AVS), and function with the scale of the American Orthopaedic Foot and Ankle Society (AOFAS). We applied t Student to the data to identify the p-value which was ‹ 0.05, demonstrating a significant decrease of pain and function improvement after this surgical procedure. We studied as posible postoperative complications skin lesions, infection, wound dehiscence, delayed bone healing, and recurrence, which non of them were found in our simple. In conclusion, the groove deepening with a posterior osteocartilaginous flap as a treatment for peroneal tendon dislocation is a surgical technique that provides a significant decrease of pain and function improvement, without an important complication risk.


REFERENCES

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  6. Porter D, McCarroll J, Knapp E, Torma J. Peroneal tendón subluxation in athletes fibular Groove deepening and retinacular reconstruction. Foot Ankle Int. 2005; 26 (6): 436-441.

  7. Escalas F, Figueras JM, Merino JA. Dislocation of the peroneal tendons: long-term results of surgical treatment. J Bone Joint Surg Am. 1980; 62 (3): 451-453.

  8. Wukich DK, Tuason DA. Diagnosis and treatment of chronic ankle pain. J Bone Joint Surg Am. 2010; 92 (10): 2002-2016.

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  10. Title CL, Jung HG, Parks BG, Schon LC. The peroneal groove deepening procedure- a biomechanical study of pressure reduction. Foot Ankle Int. 2005; 26 (6): 442-448.




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Acta Med. 2018;16