Single-Incision Peroneal Tendon Repair With Concomitant Modified Dwyer Calcaneal Osteotomy: Report of 15 Cases With Plate Fixation.

Foot & ankle international Pub Date : 2025-02-01 Epub Date: 2024-12-20 DOI:10.1177/10711007241303749
Amol Saxena, Maggie Fournier
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Abstract

Background: Addressing hindfoot varus via calcaneal osteotomy with simultaneous peroneal tendon repair from a single incision has not been thoroughly assessed. Some concerns with one incision are wound complications, nerve damage, and symptomatic hardware.

Methods: Patients operated on by one surgeon May 2012 to January 2022 were retrospectively reviewed with minimum 2-year follow-up via in-person visit, telephone, and chart review. Patients with peroneal tendon repair in conjunction with a modified Dwyer (with lateral shift) osteotomy fixated with a laterally applied locking plate were included. Those whose osteotomies were fixated with posteriorly applied screws were excluded.

Results: Fifteen patients were assessed, 13 males and 2 females, average age 56.9 ± 9.9 years. There were no wound complications or nerve injuries. One patient elected to have plate removal. There was 1 deep vein thrombosis. Return to activity including sports was 5.3 ± 1.3 months. On average, postoperative Roles and Maudsley and AOFAS hindfoot scores improved to "significant from pre-treatment" 11 with "excellent" results.

Conclusion: Peroneal tendon repair can be performed through the same incision as a modified Dwyer calcaneal osteotomy to address hindfoot varus deformity. In this series, there were no wound or nerve issues.

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单切口腓骨肌腱修复联合改良Dwyer跟骨截骨术:钢板固定15例报告。
背景:通过小腿截骨术同时进行腓骨肌腱修复的单切口治疗后足外翻尚未得到全面评估。单切口的一些问题是伤口并发症、神经损伤和有症状的硬件:方法:对2012年5月至2022年1月由一名外科医生进行手术的患者进行回顾性研究,通过面诊、电话和病历审查进行至少2年的随访。研究对象包括腓骨肌腱修复术与改良Dwyer(带侧移)截骨术结合使用侧向锁定钢板固定的患者。结果:共对 15 名患者进行了评估,其中男性 13 人,女性 2 人,平均年龄(56.9±9.9)岁。无伤口并发症或神经损伤。一名患者选择移除钢板。有 1 例深静脉血栓形成。恢复活动(包括运动)的时间为 5.3 ± 1.3 个月。术后Roles和Maudsley评分以及AOFAS后足评分平均提高到 "与治疗前相比有明显改善"(11分),效果 "极佳":结论:腓骨肌腱修复术可通过与改良Dwyer小腿截骨术相同的切口进行,以治疗后足内翻畸形。在该系列手术中,没有出现伤口或神经问题。
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