Ponavljane luksacije peronealnih tetiva: prikaz uzastopne serije bolesnika i pregled literature [Recurrent peroneal tendon dislocation: a consecutive case series and review of the literature]

Bojanić, Ivan and Dimnjaković, Damjan and Smoljanović, Tomislav (2018) Ponavljane luksacije peronealnih tetiva: prikaz uzastopne serije bolesnika i pregled literature [Recurrent peroneal tendon dislocation: a consecutive case series and review of the literature]. Liječnički vjesnik, 140 (3-4). pp. 129-136. ISSN 0024-3477

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Abstract

The aim of this paper was to give a complete review of the current literature on surgical treatment of peroneal tendon dislocation and to present the results of surgical treatment in our consecutive case series of 7 patients in order to create a treatment strategy for optimal functional outcomes. The results of current research on surgical treatment of peroneal tendon dislocation as well as the outcome of treatment in our patients indicate that the repair of the superior peroneal retinaculum (the Singapore operation) is highly effective with excellent func-tional results after long term follow up. The great advantage of this technique is the possibility of combining this method with other procedures, such as retromalleolar groove deepening in the presence of a shallow retro-malleolar groove. Despite the success of open surgery in the treatment of peroneal tendon dislocation due to the rapid development of tendoscopy of peroneal tendons as a minimally invasive surgical technique, it is be-lieved that treatment of recurrent dislocation of peroneal tendons will be performed completely tendoscopical-ly in the near future.

Abstract in Croatian

Cilj je rada prikazati cjelovit pregled dostupne literature o kirurškom liječenju ponavljanih luksacija peroneal-nih tetiva (LPT) i rezultate kirurškog liječenja LPT-a u našoj uzastopnoj seriji od 7 bolesnika. Želimo kreirati strategiju kirurškog liječenja LPT-a koja bi rezultirala optimalnim funkcionalnim ishodom. Rezultati dosad provedenih istraživanja pokazuju da je metoda kojom se gornji peronealni retinakul ponovo učvrsti na svoje anatomsko mjesto na fibuli (tzv. singapurski postupak) izrazito učinkovita, s odličnim funkcionalnim rezultatima i tijekom višegodišnjeg praćenja. U prilog tim rezultatima govore i uspjesi kirurškog liječenja naših bolesnika. Velika prednost singapurskog postupka jest i mogućnost njegova kombiniranja s drugim metodama, primjerice, s produbljivanjem retromaleolarnog žlijeba na fibuli kada je on preplitak. Međutim, unatoč dokazanoj uspješnosti otvorenih kirurških metoda, a s obzirom na ubrzani razvoj tendoskopije peronealnih tetiva kao minimalno invazivne kirurške tehnike, vjeruje se da će se u bliskoj budućnosti kirurško liječenje ponavljanih luksacija peronealnih tetiva izvoditi potpuno tendoskopski.

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