Abstract

This modification of a soft tissue reconstruction procedure for the treatment of peroneal tendon subluxation and dislocation consists of creating an anterior-based periosteal flap in the peroneal groove from the fibula. This flap is used to augment the superior peroneal retinaculum and prevent the anterior displacement of the peroneal tendons. Its multiple benefits include the augmentation of the anterior aspect of the superior peroneal retinaculum (which may be deficient) and the recreation of the normal anatomy with little disturbance of the surrounding tissue. This simple procedure, with its relative ease of reconstruction, can be performed quickly for patients with acute or chronic peroneal tendon subluxation.

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