Nishimura Akinobu, Nakazora Shigeto, Senga Yoshiyuki, Fukuda Aki, Kato Ko, Sudo Akihiro
Department of Orthopaedic and Sports Medicine, Graduate School of Medicine, Mie University, Tsu, Mie, Japan.
Arthrosc Tech. 2022 Jul 14;11(8):e1395-e1401. doi: 10.1016/j.eats.2022.03.028. eCollection 2022 Aug.
Peroneal tendon dislocation (PTD) is sometimes diagnosed as a sports-related injury, of which many cases lead to recurrent PTD (RPTD). Superior retinaculum repair is the major operative treatment of RPTD. The technique described herein comprises 8 steps: (1) Standard tendoscopic examination, (2) debridement of the pseudo-pouch base, (3) first anchor insertion, (4) suture relay, (5) second anchor insertion and suture relay, (6) third anchor insertion and suture relay, (7) suture tightening, and (8) suture bridge. Although this tendoscopic peroneal retinaculum repair technique is complicated, expensive, and requires a longer operation time, it incorporates a double-row suture bridge. Therefore, it has a wider contact surface between the superior retinaculum repair and fibula bone and tighter fixation than does a single-row technique. Moreover, our technique is knotless and thereby avoids knot-related complications. Tendoscopy has additional advantages in terms of less postoperative pain, fewer complications, and better cosmesis. In conclusion, this knotless tendoscopic peroneal retinaculum repair technique for RPTD is a patient-friendly surgery compared with previous procedures.
腓骨肌腱脱位（PTD）有时被诊断为与运动相关的损伤，其中许多病例会导致复发性腓骨肌腱脱位（RPTD）。上支持带修复是RPTD的主要手术治疗方法。本文所述技术包括8个步骤：（1）标准关节镜检查，（2）清理假囊底部，（3）插入第一枚锚钉，（4）缝线转接，（5）插入第二枚锚钉并进行缝线转接，（6）插入第三枚锚钉并进行缝线转接，（7）收紧缝线，（8）缝线桥接。尽管这种关节镜下腓骨上支持带修复技术复杂、昂贵且手术时间较长，但它采用了双排缝线桥接。因此，与单排技术相比，上支持带修复与腓骨之间的接触面更宽，固定更牢固。此外，我们的技术是无结的，从而避免了与结相关的并发症。关节镜检查在术后疼痛较轻、并发症较少和美容效果较好方面还有其他优势。总之，与以前的手术方法相比，这种用于RPTD的无结关节镜下腓骨上支持带修复技术是一种对患者友好的手术。
