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Endoscopic Superior Peroneal Retinaculum Reconstruction Using Q-FIX MINI Suture Anchor
Tun Hing Lui1, Charles Churk Hang Li2
1Department of Orthopaedics and Traumatology, Hong Kong SAR, China.
Arthroscopy Techniques
|March 7, 2023
Summary
Endoscopic reconstruction of the superior peroneal retinaculum using the Q-FIX MINI suture anchor offers a minimally invasive alternative to open surgery for post-traumatic peroneal tendon instability. This technique reduces complications and improves patient outcomes.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Foot and Ankle Surgery
Background:
- Post-traumatic peroneal tendon subluxation/dislocation often results from superior peroneal retinaculum injury.
- Traditional open surgeries carry risks like nerve damage, adhesions, and persistent instability.
Purpose of the Study:
- To detail an endoscopic technique for superior peroneal retinaculum reconstruction.
- To highlight the benefits of minimally invasive surgery for peroneal tendon instability.
Main Methods:
- Utilized an endoscopic approach for superior peroneal retinaculum reconstruction.
- Employed the Q-FIX MINI suture anchor for the procedure.
- Ensured anchor insertion within a drill guide to prevent soft tissue trapping.
Main Results:
- The endoscopic technique offers advantages over open surgery.
- Benefits include improved cosmesis, reduced soft-tissue dissection, and less postoperative pain.
- Potential reduction in peritendinous fibrosis and subjective tightness at peroneal tendons.
Conclusions:
- Endoscopic reconstruction with the Q-FIX MINI suture anchor is a viable, minimally invasive option.
- This approach mitigates risks associated with open surgical procedures.
- It provides a favorable alternative for managing peroneal tendon instability.

