Steel Maxwell W, DeOrio James K
Orthopaedic Surgery, Mayo Clinic Jacksonville, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
Foot Ankle Int. 2007 Jan;28(1):49-54. doi: 10.3113/FAI.2007.0009.
Operative treatment has become the standard for peroneal tendon tears when nonoperative management fails. Successful return to sports has been reported in previous studies. We evaluated 30 patients who had operative treatment of peroneal tears.
Patients who were evaluated by a questionnaire and by review of medical records, MRI, radiographs, and operative reports.
Nine of the 10 patients who were working outside the home were able to return to employment at the same level. A substantial number had residual symptoms, including scar tenderness (58%) and lateral ankle swelling (54%). Only 46% were able to successfully return to sports.
Although operative treatment was very effective in allowing patients to return to work, only half of our patients were able to return to sports at an average followup of 31 months.
当非手术治疗失败时,手术治疗已成为腓骨肌腱撕裂的标准治疗方法。先前的研究报道了患者成功重返运动的情况。我们评估了30例接受腓骨肌腱撕裂手术治疗的患者。
通过问卷调查以及查阅病历、磁共振成像(MRI)、X线片和手术报告对患者进行评估。
10名外出工作的患者中有9名能够回到原工作岗位。相当一部分患者有残留症状,包括瘢痕压痛(58%)和外踝肿胀(54%)。只有46%的患者能够成功重返运动。
尽管手术治疗在使患者重返工作岗位方面非常有效,但在平均31个月的随访中,我们的患者中只有一半能够重返运动。