Reattachment of the SPR Versus the Bone Block Procedure for Recurrent Peroneal Tendon Dislocation

NCT ID: NCT04955665

Last Updated: 2021-07-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

47 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-07-01

Study Completion Date

2018-12-31

Brief Summary

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Clinical outcomes between reattachment of the superior peroneal retinaculum (SPR) and the bone block procedure were compared in this study to elucidate which procedure was safer and more effective.

Detailed Description

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From 2012 to 2016, 25 patients with recurrent peroneal tendon dislocation underwent the bone block procedure(group A), and another 22 patients underwent reattachment of the SPR (group B). American Orthopaedic Foot and Ankle society (AOFAS) ankle-hindfoot score, Ankle Activity Score (AAS), time to return to sports activity, rate of return to sports level, range of motion (ROM) of the ankle, rate of recurrence, and overall patient satisfaction were collected to evaluate outcomes between the two groups.

Conditions

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Recurrent Peroneal Tendon Dislocation

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Bone block procedure

patients with recurrent peroneal tendon dislocation underwent the bone block procedure

bone block procedure

Intervention Type PROCEDURE

a 20 × 15 × 3 mm3 bone block was cut from the lateral malleolus, rotated backwards 45°, and sutured back to the periosteum of the lateral malleolus using non-absorbable sutures.

Reattachment of the superior peroneal retinaculum

patients with recurrent peroneal tendon dislocation underwent reattachment of the superior peroneal retinaculum

Reattachment of the superior peroneal retinaculum

Intervention Type PROCEDURE

two suture anchors (Mini Quickanchor,DePuy Mitek) were inserted into the postero-lateral ridge of the lateral malleolus without damaging the cartilaginous ridge, after which the SPR was reattached to the lateral malleolus with the anchored suture. The inner layer of the false pouch was incised, and the outer layer (periosteum) was sutured with the SPR in a pants-over-vest style.

Interventions

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bone block procedure

a 20 × 15 × 3 mm3 bone block was cut from the lateral malleolus, rotated backwards 45°, and sutured back to the periosteum of the lateral malleolus using non-absorbable sutures.

Intervention Type PROCEDURE

Reattachment of the superior peroneal retinaculum

two suture anchors (Mini Quickanchor,DePuy Mitek) were inserted into the postero-lateral ridge of the lateral malleolus without damaging the cartilaginous ridge, after which the SPR was reattached to the lateral malleolus with the anchored suture. The inner layer of the false pouch was incised, and the outer layer (periosteum) was sutured with the SPR in a pants-over-vest style.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* a traumatic recurrent peroneal tendon dislocation requiring surgery
* a lack of response to at least 3 months of conservative treatment

Exclusion Criteria

* the presence of an acute peroneal tendon dislocation
* a concomitant anterior talofibular ligament rupture
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University Third Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Qinwei Guo, MD

Role: STUDY_CHAIR

Peking University Third Hospital

Other Identifiers

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M2018225

Identifier Type: -

Identifier Source: org_study_id

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