Favorable change in patient-reported outcomes following peroneus longus to brevis tendon transfer and lateral ankle ligament reconstruction.

IF 1.9 3区医学 Q2 ORTHOPEDICS Foot and Ankle Surgery Pub Date : 2024-10-10 DOI:10.1016/j.fas.2024.09.008

Anna E Sprinchorn, Gunilla E Frykberg, Jón Karlsson, Karl Michaëlsson

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Abstract

Background: A peroneus longus to brevis tendon transfer is recommended for a severely torn peroneus tendon, but there is little research on the outcome. We conducted a prospective cohort study to examine patient-reported outcomes after this procedure.

Methods: Thirty-two patients underwent a peroneus longus to brevis tendon transfer and lateral ankle ligament reconstruction, 11 had an additional calcaneal osteotomy. The Foot and Ankle Outcome Score (FAOS) and Short Form-36 (SF-36) were assessed preoperatively, six and 12 months after surgery.

Results: Preoperative mean FAOS was 51.7 (SD 17.8) compared with 72.7 (SD 21.2) at 12 months, an improvement of 21 (95 % CI 12.7-28.0) (p < 0.0001). SF-36 improved significantly in the three domains involving physical function and bodily pain (p < 0.007).

Conclusion: Patient-reported outcomes improved significantly through peroneus longus to brevis tendon transfer. This procedure is worth considering for patients with a severely damaged peroneus tendon.

Level of evidence: Level II: Prospective cohort study.

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腓骨长肌到腓骨肌腱转移和外侧踝关节韧带重建术后患者报告结果的有利变化。

背景：对于严重撕裂的腓骨肌腱，建议进行腓骨长肌腱与腓骨短肌腱的转移，但有关结果的研究却很少。我们进行了一项前瞻性队列研究，以检查患者报告的该手术后的疗效：32名患者接受了腓骨长肌到腓骨肌腱转移术和外侧踝关节韧带重建术，11名患者接受了额外的小腿截骨术。对术前、术后6个月和12个月的足踝结果评分（FAOS）和短表格-36（SF-36）进行了评估：结果：术前平均 FAOS 为 51.7（标清 17.8），术后 12 个月为 72.7（标清 21.2），改善了 21（95 % CI 12.7-28.0）（P 结论：患者报告的结果明显改善：通过腓骨长肌到腓骨肌腱转移，患者报告的疗效显著改善。对于腓骨肌腱严重受损的患者，这种手术值得考虑：证据等级：二级：前瞻性队列研究。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.