2016 IFFAS Award for Excellence - Peroneal Tendon Repairs: Can Tenodesis or Allograft Reconstruction Restore Physiologic Loading of the Peroneus Brevis and Peroneus Longus Tendons?

Foot & Ankle Orthopaedics

Manuel J.Pellegrini¹ 

关键词: Peroneal tendon;    allograft;    tenodesis;    reconstruction;   

DOI  :  10.1177/2473011416S00011

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Sports.Introduction/Purpose:Irreparable peroneal tendon tears are rare and there is scant evidence to guide surgeons on the appropriate treatment. In general, if more than 50% of the tendon is affected, segmental resection of the tendon and tenodesis to the remaining healthy tendon is recommended. We hypothesized that normal tension at the insertions of the peroneal tendons after an irreparable tear cannot be reestablished by tenodesis to the remaining tendon and can only be restored by allograft reconstruction.Methods:To assess tendon loading at their insertions, custom-made strain gage-based tension transducers were implanted into the peroneus longus (PL) and brevis (PB) tendons adjacent to their insertions on the 1st and 5th metatarsal bases in 12 fresh- frozen cadaver feet. Axial load was applied to the foot, and the peroneal tendons, tibialis anterior and posterior tendons were tensioned to 50% and 100% of physiologic load. Transducer outputs were recorded in this normal tendon condition and...

【 授权许可】

CC BY