Peroneal sheath reconstruction in the growing child

Area of Science:

• Orthopedic Surgery
• Pediatric Orthopedics
• Sports Medicine

Background:

• Peroneal tendon dislocation is a common issue in children.
• Congenital or acquired subluxation/dislocation requires effective surgical correction.
• Spasticity-induced dislocation and calcaneovalgus deformity present unique challenges.

Purpose of the Study:

• To evaluate a specific surgical procedure for anterior peroneal tendon dislocation in children.
• To assess the efficacy of superior peroneal retinaculum reconstruction.
• To determine the procedure's suitability for growing children with intact calcaneofibular ligaments.

Main Methods:

• Reconstruction of the superior peroneal retinaculum using strong ligamentous structures.
• Procedure specifically indicated for children with peroneal tendon luxation/dislocation.
• Consideration of combined procedures for complex cases involving spasticity and calcaneovalgus deformity.

Main Results:

• The described procedure effectively reconstructs the superior peroneal retinaculum.
• It aims to prevent recurrence of peroneal tendon dislocation as the child grows.
• The technique is designed to avoid complications like fibular physeal arrest and maintain lateral ankle stability.

Conclusions:

• The recommended procedure is the preferred surgical option for growing children with anterior peroneal tendon dislocation and an intact calcaneofibular ligament.
• It offers a solution for restoring stability and allowing return to vigorous physical activity.
• Caution is advised when calcaneovalgus deformity and spasticity are present; combined procedures may be necessary.