两种修复方法治疗腓骨肌腱滑脱症的临床对照研究

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Abstract Objective To compare the surgical effect of fibula drilling suture fixation and suture fixation with suture anchor in the treatment of peroneal tendon dislocation. Methods 26 patients with peroneal tendon dislocation were treated with surgery from October 2016 to August 2018，and these patients were divided into two groups according to different fixation and repair ways.Fibula drilling suture fixationon the superior peroneal retinaculum(SPR) was uesed in 12 patients and suture fixationon with suture anchor wasused in another 14 patients.There was no significant difference in gender，age，injury side and injury cause between the two groups (P＞0.05).The AOFAS (American orthopaedic foot and ankle society) score and VAS(visual analogue scale) score were recorded at preoperative and minimal 9-month of follow-up.In addition，the operative time，intraoperative bleeding and surgical costs were compared.SPSS18.0 soft ware was used for statistical processing，and the statistical data were analyzed by t-test，with P＜0.05 indicating that the difference was statistically significant.Results All patients were followed up for 9 to 12 months，with an average of (10.23±1.18) months.There were no significant differences in the compare of VAS score and AOFAS score postoperative between the two groups(P＞0.05).There were significant differences in operative time，bleeding，and cost between the two groups (P＜0.05).Conclusion Both fibula drilling suture fixation and suture fixation with suture anchorto repairthe superior peroneal retinaculum(SPR) have excellent effect in surgical treatment of peroneal tendon dislocation.There are no difference in the two treatment，but the fibula drilling suture fixationhas obviously advantage in terms of the operative time and intraoperative bleeding.And in terms of operation cost，the method of suture fixation with suture anchor has certain advantages.

Key words： peroneal tendon dislocation superior peroneal retinaculum suture anchor fibula drilling

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	Xu Zhi
	Feng Guocheng
	Zhu Ming *

Cite this article:

Xu Zhi,Feng Guocheng,Zhu Ming *. Clinical Comparative Study of two Methods in the Treatment of Peroneal Tendon Dislocation[J]. sygkzz, 2019, 25(12): 1081-1084.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2019/V25/I12/1081

［1］van Dijk PA，Gianakos AL，Kerkhoffs GM，et al.Return to sports and clinical outcomes in patients treated for peroneal tendon dislocation：a systematic review［J］.Knee Surg Sports Traumatol Arthrosc，2016，24(4)：1155-1164.
［2］Deng E，Shi W，Jiao C，et al.Reattachment of the superior peroneal retinaculum versus the bone block procedure for the treatment of recurrent peroneal tendon dislocation：two safe and effective techniques［J］.Knee Surg Sports Traumatol Arthrosc，2019，27(9)：2877-2883.
［3］Hau WWS，Lui TH，Ngai WK.Endoscopic superior peroneal retinaculum reconstruction［J］.Arthrosc Tech，2018，7(1)：e45-e51.
［4］Nishimura A，Nakazora S，Ito N，et al.Tendoscopic double-row suture bridge peroneal retinaculum repair for recurrent dislocation of peroneal tendons in the ankle［J］.Arthrosc Tech，2016，5(3)：e441-446.
［5］Eckert WR，Jr DE.Acute rupture of the peroneal retinaculum［J］.J Bone Joint Surg (Am)，1976，58(5)：670-672.
［6］Oden RR.Tendon injuries about the ankle resulting from skiing［J］.Clin Orthop Relat Res，1987(216)：63-69.
［7］Price DD，Mcgrath PA，Rafii A，et al.The validation of visual analogue scales as ratio scale measures for chronic and experimental pain［J］.Pain，1983，17(1)：45-56.
［8］Kitaoka HB，Alexander IJ，Adelaar RS，et al.Clinical rating systems for the anklehindfoot，midfoot，hallux，and lesser toes［J］.Foot Ankle Int，1994，15(7)：349-353.
［9］Zgonis T，Jolly G P，Polyzois V，et al.Peroneal tendon pathology［J］.Clin Podiatr Med Surg，2005，22(1)：79-85.
［10］Mahmoud K，Mekhaimar MM，Alhammoud A.Prevalence of peroneal tendon instability in calcaneus fractures：asystematic review and meta-analysis［J］.J Foot Ankle Surg，2018，57(3)：572.
［11］van Dijk PA，Miller D，Calder J，et al.The ESSKA-AFAS international consensus statement on peroneal tendon pathologies［J］.Knee Surg Sports Traumatol Arthrosc，2018，26(10)：3096-3107.
［12］Vosoughi AR，Erfani MA.Concomitant traumatic peroneal tendon dislocation and medial malleolus fracture：acase report［J］.Malays Orthop J，2018，12(1)：57-59.
［13］Espinosa N，Maurer MA.Peroneal tendon dislocation［J］.Eur J Trauma Emerg Surg，2015，41(6)：631-637.
［14］Dijk PADV，Kerkhoffs GMMJ，Chiodo C，et al.Chronic disorders of the peroneal tendons：current concepts review of the literature［J］.J Am Acad Orthop Surg，2019，27(16)：1.
［15］Cho J，Kim JY，Song DG，et al.Comparison of outcome after retinaculum repair with and without fibular groove deepening for recurrent dislocation of the peroneal tendons［J］.Foot Ankle Int，2014，35(7)：683-689.