Peroneal Tendon Reconstruction and Coverage for Treatment of Septic Peroneal Tenosynovitis: A Devastating Complication of Lateral Ankle Ligament Reconstruction With a Tendon Allograft

Schade, Valerie L.; Harsha, Wayne J.; Rodman, Caitlin; Roukis, Thomas S.

doi:10.1053/j.jfas.2015.02.007

Cited by 6 publications

(7 citation statements)

References 37 publications

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“…Ultimate load to failure and stiffness of the allograft were not significantly different from the native ATFL. Nevertheless, clinical studies for allograft use in ATFL reconstruction are sparse with small retrospective case series, and the potential risks of disease transmission or rejection of the graft by the host limit its widespread clinical use [ 14 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

Biomechanical stability of tape augmentation for anterior talofibular ligament (ATFL) repair compared to the native ATFL

Willegger

Benca

Hirtler

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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PurposeCurrent methods of anterior talofibular ligament (ATFL) reconstruction fail to restore the stability of the native ATFL. Therefore, augmented anatomic ATFL reconstruction gained popularity in patients with attenuated tissue and additional stress on the lateral ankle ligament complex. The aim of the present study was to evaluate the biomechanical stability of the InternalBrace® (Arthrex Inc., Naples, FL, USA), a tape augmentation designed to augment the traditional Broström procedure. MethodsTwelve (12) fresh-frozen human anatomic lower leg specimens were randomized into two groups: a native ATFL (ATFL) and a tape augmentation group (IB). Dual-energy X-ray absorptiometry (DEXA) scans were carried out to determine bone mineral density (BMD) of the specimens. The ligaments were stressed by internally rotating the tibia against the inverted fixated hindfoot. Torque at failure (Nm) and angle at failure (°) were recorded.ResultsThe ATFL group failed at an angle of 33 ± 10°. In the IB group, construct failure occurred at an angle of 46 ± 16°. Failure torque reached 8.3 ± 4.5 Nm in the ATFL group, whereas the IB group achieved 11.2 ± 7.1 Nm. There was no correlation between angle at ATFL or IB construct failure or torque at failure, respectively, and BMD for both groups.ConclusionThis study reveals that tape augmentation for ATFL reconstruction shows similar biomechanical stability compared to an intact native ATFL in terms of torque at failure and angle at failure. BMD did not influence the construct stability. Tape augmentation proved an enhanced initial stability in ATFL reconstruction which may allow for an accelerated rehabilitation process.Level of evidence II.

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Section: Discussionmentioning

confidence: 99%

Biomechanical stability of tape augmentation for anterior talofibular ligament (ATFL) repair compared to the native ATFL

Willegger

Benca

Hirtler

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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“…16 Injuries of both the peroneus longus and brevis tendons are uncommon, and only a few case series have been reported. 10,12,13,15 Chronic rupture of both peroneal tendons has been reconstructed using a Hunter rod with flexor hallucis longus tendon or tensor fascia lata. 13,15 Tendon graft or tendon transfer has been suggested when both the longus and brevis tendons are nonfunctional.…”

Section: Discussionmentioning

confidence: 99%

“…10,12,13,15 Chronic rupture of both peroneal tendons has been reconstructed using a Hunter rod with flexor hallucis longus tendon or tensor fascia lata. 13,15 Tendon graft or tendon transfer has been suggested when both the longus and brevis tendons are nonfunctional. 10 Thus far, only two cases of reconstruction of both tendons using a tendon graft with satisfactory results have been reported.…”

Section: Discussionmentioning

confidence: 99%

“…Various graft choices have been reported for tissue augmentation, including autografts and allografts. 3,4,8,13,15 Because allografts are not available in Japan, both semitendinosus and gracilis tendons were harvested. Although there is concern about donor site morbidity, few differences have been reported in the recovery of hamstring strength regardless of whether one hamstring tendon or two hamstring tendons were harvested.…”

Section: Discussionmentioning

confidence: 99%

“…Anatomic reconstruction using a tissue graft to treat chronic lateral ankle instability or peroneus tendon injury has gained popularity and has favorable clinical results. 4,[6][7][8]13,15 However, reports of treatment for combined defects of lateral ankle ligaments and peroneal tendons are lacking. We report a case of complex defects of the lateral ankle ligaments and peroneal tendons that were anatomically reconstructed using semitendinosus and gracilis autografts.…”

Section: Introductionmentioning

confidence: 99%

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Anatomic Reconstruction of Lateral Ankle Ligaments and Both Peroneus Tendons After Open Fracture Dislocation of the Ankle: A Case Report

Sakurai

Fukushi

Mizu-uchi

et al. 2019

Foot & Ankle Orthopaedics

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Extensive soft tissue defects of the ankle are an uncommon but challenging problem that require a combination of reconstructive options. We report the case of a complex injury involving the skin, lateral ankle ligaments, and peroneal tendons that were anatomically reconstructed. A 15-year-old girl was injured in an automobile accident resulting in extensive soft tissue defects and marked instability of her right ankle. The lower two-thirds of the anterior talofibular ligament (ATFL) had segmental defects, and calcaneofibular ligament (CFL) was completely torn, and both peroneal longus and brevis tendons were severely damaged. Initial debridement was performed on the day on injury. Two weeks after injury, the ATFL and CFL were reconstructed using a semitendinosus autograft and suture tape augmentation. Both peroneal tendons were reconstructed using a gracilis autograft. The skin defect (10 Â 10 cm) was covered with an anterolateral thigh flap. After removing a short leg cast at 3 weeks postoperatively, the patient started range of motion exercises without using any brace. Weightbearing was allowed at 4 weeks. At the 24-month follow-up examination, she had returned to her preoperative level of work and sports activities.

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Revision Surgery of the Peroneal Tendon

Giza

Kreulen

Boukhemis

2019

Revision Surgery of the Foot and Ankle

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Peroneal Tendon Reconstruction and Coverage for Treatment of Septic Peroneal Tenosynovitis: A Devastating Complication of Lateral Ankle Ligament Reconstruction With a Tendon Allograft

Cited by 6 publications

References 37 publications

Biomechanical stability of tape augmentation for anterior talofibular ligament (ATFL) repair compared to the native ATFL

Biomechanical stability of tape augmentation for anterior talofibular ligament (ATFL) repair compared to the native ATFL

Anatomic Reconstruction of Lateral Ankle Ligaments and Both Peroneus Tendons After Open Fracture Dislocation of the Ankle: A Case Report

Revision Surgery of the Peroneal Tendon

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