Ferran Nicholas Antonio, Maffulli Nicola, Oliva Francesco
Department of Trauma and Orthopaedic Surgery, Keele University School of Medicine, Hartshill, Thornburrow Drive, Stoke-on-Trent, Staffordshire, United Kingdom ST4 7QB.
Foot Ankle Clin. 2006 Sep;11(3):465-74. doi: 10.1016/j.fcl.2006.06.002.
Recurrent peroneal subluxation occurs when an acute injury is misdiagnosed or not adequately managed. The primary pathology is failure of the SPR, the principal restraint to the peroneal tendons. Several surgical techniques have been described. Determining the most effective technique from the small case series and reports in the literature is impossible. If an anatomic approach to treating the pathology is used, reattachment of the SPR, as we have described, seems a most appropriate technique. Rarely, the retinaculum in recurrent cases may not be robust enough to withstand repair, and a different approach to the problem may be required. In the future, there may be an emerging role for minimally invasive SPR repair with the use of endoscopic techniques.
当急性损伤被误诊或处理不当时，会发生复发性腓骨半脱位。主要病理改变是SPR（腓骨肌腱的主要约束结构）功能失效。已经描述了几种手术技术。从文献中的小病例系列和报告中确定最有效的技术是不可能的。如果采用解剖学方法治疗该病理状况，如我们所描述的那样，重新附着SPR似乎是最合适的技术。在复发性病例中，支持带很少会不够坚韧而无法承受修复，可能需要采用不同的方法来解决这个问题。未来，使用内镜技术进行微创SPR修复可能会发挥越来越重要的作用。
