Abstract
This study evaluated an acellular dermal matrix allograft augmentation for chronic mid-substance peroneous longus and brevis tendon tears. The hypothesis was that acellular dermal matrix allograft augmentation of chronic longitudinal mid-substance or complete tears of both peroneal tendons provides sufficient initial strength to allow a rapid rehabilitation program. A consecutive series of mid-substance peroneal tendon tears with tissue loss was prospectively evaluated with demographic data, American Orthopaedic Foot and Ankle Society hindfoot-ankle scores, subjective questionnaires, and functional tests as well as physical examination, pre-operative radiographs, and MRIs. Surgical reconstruction consisted of direct tendon repair, fibular sulcus deepening, and ;;gap jumping'' tubular grafting augmentation using an acellular dermal matrix. A rapid rehabilitation protocol was followed. Eleven cases were included (9 females and 2 males). Average age was 46 (range, 29 to 62) years. Followup was 16.9 (range, 12 to 22) months. Two patients had prior surgery for instability, peroneal tendon debridement, and repair. Four patients had previous tenodesis. All showed extensive longitudinal tearing or complete peroneal tendon rupture on MR...Continue Reading
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