Technique using the modified rolling hitch for split peroneus brevis tendon transfer in lateral ankle stabilization.

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Anatomy

Background:

• Lateral ankle instability is a common condition often treated with surgical reconstruction.
• Peroneus brevis tendon tears can complicate treatment and require tendon graft utilization.
• Current tendon graft fixation methods may be time-consuming and risk iatrogenic injury.

Purpose of the Study:

• To describe a novel technique for split peroneus brevis lateral ankle stabilization.
• To evaluate the efficacy of the modified rolling hitch for tendon graft fixation.
• To assess the impact of this technique on surgical time and tendon integrity.

Main Methods:

• A modified rolling hitch technique was employed for peroneus brevis tendon graft fixation.
• The technique was applied during lateral ankle stabilization procedures.
• Surgical time and intraoperative complications related to tendon fixation were recorded.

Main Results:

• The modified rolling hitch facilitated secure tendon grasping.
• The technique led to a decrease in overall surgical duration.
• Needle-induced tendon injury was successfully avoided using this method.

Conclusions:

• The modified rolling hitch is an effective and safe method for peroneus brevis tendon graft fixation in lateral ankle stabilization.
• This technique offers advantages in terms of efficiency and prevention of iatrogenic injury.
• It represents a valuable addition to the surgical armamentarium for managing lateral ankle instability.