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Updated: Jun 22, 2026

Harvesting of Peroneus Longus Tendon Autograft
04:03

Harvesting of Peroneus Longus Tendon Autograft

Published on: September 2, 2025

Modified rerouting procedure for failed peroneal tendon dislocation surgery.

R Gaulke1, F Hildebrand, M Panzica

  • 1Trauma Department, Hannover Medical School (MHH), Carl-Neuberg-Str. 1, D-30625, Hannover, Germany. gaulke.ralph@mh-hannover.de

Clinical Orthopaedics and Related Research
|June 24, 2009
PubMed
Summary
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Subligamental transposition of the peroneus brevis tendon effectively treats recurrent peroneal tendon dislocation after surgery. This procedure achieved stable fixation and improved ankle stability without recurrence in a 1-year follow-up.

Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Foot and ankle reconstruction

Background:

  • Recurrent dislocation of peroneal tendons after surgery is uncommon but challenging.
  • Previous surgical treatments for peroneal tendon dislocation may fail, necessitating revision procedures.

Purpose of the Study:

  • To evaluate the efficacy of subligamental transposition of the peroneus brevis tendon, fibular grooving, and superior peroneal retinaculum reattachment for failed peroneal tendon dislocation surgery.
  • To assess the achievement of stable peroneal tendon fixation and identify any postoperative range of motion restrictions or hindfoot instability.

Main Methods:

  • A prospective case series (Level IV evidence) reviewed six female patients with a mean age of 24.5 years.
  • Patients had general joint laxity and underwent revision surgery for failed peroneal tendon dislocation.

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Last Updated: Jun 22, 2026

Harvesting of Peroneus Longus Tendon Autograft
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  • Outcomes were assessed preoperatively and at 6 weeks, 3, 6, and 12 months postoperatively.

    • Main Results:

    • No recurrence of peroneal tendon dislocation was observed within 1 year postoperatively.
    • Mild range of motion restrictions (5-10 degrees extension, 5 degrees pronation/supination) occurred in some patients.
    • Ankle stability improved in four patients and remained unchanged in two. The American Orthopaedic Foot and Ankle Society (AOFAS) score significantly increased from 36 preoperatively to 90 at 1 year.

    Conclusions:

    • Subligamental transposition of the peroneus brevis tendon is a viable and effective treatment option for recurrent peroneal tendon dislocation following failed prior surgery.
    • The procedure demonstrates potential for stable fixation and improved functional outcomes, with manageable range of motion limitations.