Steinböck G, Pinsger M
Orthopädisches Spital, Wien, Austria.
Foot Ankle Int. 1994 Mar;15(3):107-11. doi: 10.1177/107110079401500305.
Of the many different surgical techniques to treat peroneal tendon dislocations, transposition of the peroneal tendons under the calcaneofibular ligament has been used at the Orthopädisches Spital of Vienna/Austria since 1975. The method was first described by Platzgummer in 1967. After dividing the calcaneofibular ligament and removing the fatty tissue in the space between this ligament, the posterior talofibular ligament, and the lateral capsule of the subtalar joint, the peroneal tendons are placed behind the lateral malleolus and under the calcaneofibular ligament, which is reconstructed by suture to create an efficient retainment. Of 17 feet operated on, 13 were available for follow-up in 12 patients. Dislocation was idiopathic in three and traumatic in 10 feet. Criteria for evaluation were patient's satisfaction, absence of pain and swelling, and stability of tendon retention and of ankle and subtalar joints. Of the 13 operated feet, 11 showed an excellent result and two showed a good result. In the results graded as "good," occasional pain and swelling occurred in both feet of a patient belonging to the idiopathic group.
在众多治疗腓骨肌腱脱位的不同手术技术中，自1975年以来，奥地利维也纳矫形医院一直采用将腓骨肌腱转位至跟腓韧带下方的方法。该方法最早由普拉茨古默于1967年描述。在切断跟腓韧带并清除该韧带、后距腓韧带和距下关节外侧关节囊之间间隙内的脂肪组织后，将腓骨肌腱置于外踝后方和跟腓韧带下方，通过缝合重建跟腓韧带以实现有效固定。在接受手术的17只足中，12例患者的13只足可供随访。脱位病因不明的有3只足，创伤性的有10只足。评估标准包括患者满意度、无疼痛和肿胀以及肌腱固定及踝关节和距下关节的稳定性。在接受手术的13只足中，11只效果极佳，2只效果良好。在评为“良好”的结果中，一名病因不明组患者的两只足偶尔出现疼痛和肿胀。
