Hospital for Special Surgery, New York, NY, USA.
Foot Ankle Int. 2014 Mar;35(3):252-7. doi: 10.1177/1071100713514565. Epub 2013 Dec 6.
Peroneal tendon tears are relatively common; however, there are few reports on the long-term success of operative treatment. The purpose of this study was to review the long-term clinical and patient-reported outcomes of a cohort of patients with peroneal tendon tears treated with debridement and primary repair.
Patients who underwent debridement and primary repair of tears of the peroneus longus and brevis from 1994 to 2008 were included in the study. A chart review was performed to determine patient demographics, postoperative complications, and return to sport. Clinical outcomes scores used to assess patients preoperatively and at most recent follow-up included a visual analog scale (VAS) for pain, the SF-12 Health Survey, and the Lower Extremity Functional Scale (LEFS) questionnaire.
We identified 34 patients with a tear of one or both peroneal tendons treated operatively by a single surgeon. Eighteen patients participated in the follow-up survey with an average follow-up time of 6.5 years (range, 2-14 years). There was significant improvement in mean VAS pain scores at the time of final follow-up (P < .001) from a mean of 39 (range, 0-80) preoperatively to a mean of 10 (range, 0-52) postoperatively. In addition, there was a significant increase in the LEFS score from a mean of 45 (range, 23-70) preoperatively to a mean of 71 (range, 24-80) postoperatively (P < .001). Of the 18 patients who responded, 17 returned to full sporting activity without limitation. There were no reoperations or operative failures during this time interval.
Our study found excellent long-term functional outcomes for patients with tears of the peroneal tendons treated with debridement and primary operative repair. Moreover, we observed that the majority of patients returned to their previous level of activity without the need for reoperation or revision of the repair.
Level IV, case series.
腓肠肌腱撕裂较为常见，但关于手术治疗的长期疗效的报道较少。本研究旨在回顾一组经清创和一期修复治疗的腓肠肌腱撕裂患者的长期临床和患者报告结果。
研究纳入了 1994 年至 2008 年间接受腓骨长肌和腓骨短肌撕裂清创和一期修复的患者。通过病历回顾确定患者的人口统计学资料、术后并发症和重返运动情况。用于评估患者术前和最近随访时的临床结果评分包括疼痛视觉模拟评分（VAS）、SF-12 健康调查和下肢功能量表（LEFS）问卷。
我们确定了 34 例由一位外科医生手术治疗的单侧或双侧腓肠肌腱撕裂患者。18 例患者参与了随访调查，平均随访时间为 6.5 年（范围 2-14 年）。最终随访时，平均 VAS 疼痛评分从术前的 39（范围 0-80）显著改善至术后的 10（范围 0-52）（P<.001）。此外，LEFS 评分从术前的 45（范围 23-70）显著增加至术后的 71（范围 24-80）（P<.001）。在 18 例有反应的患者中，17 例在无限制的情况下完全恢复运动。在此期间无再次手术或手术失败。
我们的研究发现，经清创和一期手术修复治疗的腓肠肌腱撕裂患者具有良好的长期功能结果。此外，我们观察到大多数患者在无需再次手术或修复修复的情况下恢复到之前的活动水平。
IV 级，病例系列。
