Surgical Treatment Of Peroneal Tear!

Surgical Treatment Of Peroneal Tear!


By Dr. Shrikant Bhoyar, General Surgery

The peroneal tendon refers to those tendons, which connect the muscles of the outer portion of the calf of one’s foot. The two main peroneal muscles, the peroneus longus, and peroneus brevis, both are situated on the outer half of the leg that lies adjacent to the calf muscles. The peroneal muscles are extremely important at turning the foot.
Personal tendon tears are quite unusual and most occur to the peroneus brevis tendon. Tears occur as the result of two issues with the tendon. One such issue is with the supply of blood. Tears of the peroneus brevis always tend to occur in the zone for the watershed, where the supply of blood and the tendon’s nutrition happens to be the poorest.

Surgical Treatment-
There are basically two types of surgeries, which doctors look for conducting in order to treat the tears of peroneus brevis. As patients usually do not get lasting relief from the symptoms, hence surgery might be necessary. The two options include:

1. Debridement and Repair of the Tendon:
When tendon debridement takes places, the tendon that is damaged and the surrounding inflammatory tissue can get removed. The tendon tear can be repaired and thus the tendon is tabularized, thereby restoring
the normal shape of the tendon. This tendon debridement and repair is appropriate when less than half of the tendon is torn.

2. Tenodesis:
The other surgical procedure is Tenodesis. It is a procedure wherein the damaged tendon gets sewn to the normal tendon. In this scenario, the doctor removes the damaged part of the peroneus brevis. Then the ends left behind are sewn to the next peroneus longus tendon. This is usually recommended for tears that involve more than half of the tendon.

Tips To Keep In Mind-
There are certain tips, which must be kept in mind before, during and after the surgery for Peroneal Tear. They include:

  • Surgical treatment is required, only if a doctor feels that the subluxation of the dislocation is regular.
  • A patient can look for surgical intervention, only if the problem tends to interfere with his day to day activities.
  • From a doctor’s point of view, the primary goal is to let the tendons be within the canal, just behind the fibula.
  • A doctor must keep another thing in mind while conducting the surgery. He should repair the superior peroneal retinaculum to the bone. This will ensure that the tendons can no longer manage to roll under a sleeve of retinaculum.
  • Patients must have the requisite patience to get back to full mobility, as it takes around 2-6 weeks to attain complete recovery after the surgery.
  • Those undergoing surgical treatment should also make it a point to undergo intensive rehabilitation for a period of four to six weeks.