Departments of Orthopaedic Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.
Orthopaedic and Sports Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.
Knee Surg Sports Traumatol Arthrosc. 2020 Oct;28(10):3318-3323. doi: 10.1007/s00167-020-05877-x. Epub 2020 Feb 6.
The purpose of this study was to evaluate whether tendoscopic peroneal retinaculum repair for patients with recurrent peroneal tendon dislocation (RPTD) is more useful than an open procedure.
Twenty-five patients with RPTD were retrospectively reviewed. Twelve patients (13 ankles) with RPTD underwent the open procedure (Group A) between 2008 and 2014, and 13 patients (14 ankles) underwent the tendoscopic procedure (Group B) between 2014 and 2017. Evaluation parameters included clinical results [the Japanese Society for Surgery of the Foot (JSSF) ankle-hind foot scale], operation time, complications, return to sports, and recurrence.
Postoperative JSSF ankle/hindfoot scale scores were significantly better than the pre-surgical scores in both groups. The mean operation time was significantly longer in Group B than in Group A (75.7 ± 20.5 vs 38.4 ± 10.5 min). There was one recurrence in Group A, but none in Group B. Group A had no complications, and Group B had one wound infection. Group B, excluding the case of infection, could return to sports earlier than Group A, excluding the recurrent case (13.4 ± 1.5 vs 12.2 ± 0.6 weeks).
This tendoscopic procedure needs longer operation time and is more technically demanding, but it is a useful procedure, because it is less invasive and can accelerate return to sports.
III.
本研究旨在评估对于复发性外踝肌腱脱位（RPTD）患者，经皮内窥镜下腓骨支持带修复是否优于开放式手术。
回顾性分析 25 例 RPTD 患者。2008 年至 2014 年间，12 例（13 足）患者接受开放式手术（A 组），2014 年至 2017 年间，13 例（14 足）患者接受经皮内窥镜下手术（B 组）。评估参数包括临床结果（日本足踝外科协会[JSSF]踝关节-后足评分）、手术时间、并发症、重返运动和复发。
两组患者术后 JSSF 踝关节/后足评分均明显优于术前。B 组的平均手术时间明显长于 A 组（75.7±20.5 比 38.4±10.5 分钟）。A 组有 1 例复发，B 组无复发。A 组无并发症，B 组有 1 例伤口感染。B 组（感染除外）比 A 组（复发除外）更早重返运动（13.4±1.5 比 12.2±0.6 周）。
该经皮内窥镜下手术需要更长的手术时间和更高的技术要求，但它是一种有用的手术方法，因为它的侵入性更小，可以加速重返运动。
III。
