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Sliding fibular graft repair for chronic dislocation of the peroneal tendons

Division of Sports Medicine, The Children's Hospital Medical Center, Boston, Massachusetts

Peter M. Waters, MD

Division of Sports Medicine, The Children's Hospital Medical Center, Boston, Massachusetts

Don P. Sanders, MD

Division of Sports Medicine, The Children's Hospital Medical Center, Boston, Massachusetts

Chronic recurrent subluxation of the peroneal tendons can be a disabling condition in the young athlete. Con servative techniques of management, including taping, pads, or special shoes, are usually ineffective. Many authors have reported favorable results with surgical reconstruction. These repairs fall into four categories: periosteal reattachment, groove deepening, tenoplasty procedures, and bone block procedures. We are re porting the results of treatment of 12 patients with a sliding fibular graft procedure that has not previously been reported in the literature. Results were excellent in 11 of the 12 procedures. One patient with bilateral repairs reported recurrence of symptoms on one side and required reexploration.

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