Peroneal Tendon Debridement and Repair

The peroneal tendons are two tendons that run along the outside of the ankle and help to stabilize the ankle joint. When these tendons become damaged or inflamed, it can cause pain, swelling, and limited mobility. Peroneal tendon debridement and repair is a surgical procedure that can help to relieve these symptoms by removing damaged tissue and repairing the tendons.

What are the symptoms of peroneal tendon damage?

The symptoms of peroneal tendon damage may include:

• Pain or tenderness along the outside of the ankle

• Swelling or inflammation in the ankle

• Weakness or instability in the ankle joint

• Clicking or popping sounds in the ankle

• Limited range of motion or mobility in the ankle

What causes peroneal tendon damage?

Peroneal tendon damage can be caused by a variety of factors, including:

• Repetitive stress or overuse of the ankle joint

• Trauma or injury to the ankle, such as an ankle sprain

• Abnormal foot or ankle mechanics, such as a high arch or flat feet

• Inflammatory conditions such as tendinitis or arthritis

How is peroneal tendon damage diagnosed?

Peroneal tendon damage is typically diagnosed with a physical exam and imaging tests, such as X-rays or MRI scans. These tests can help to identify the location and extent of the damage to the tendons.

How is peroneal tendon debridement and repair performed?

Peroneal tendon debridement and repair is typically performed as an outpatient procedure under general anesthesia. During the procedure, your surgeon will make small incisions in the ankle to access the damaged tendons. The damaged tissue will be removed, and the tendons will be repaired using sutures or other techniques.

After the procedure, you will likely need to wear a protective boot or brace for several weeks to help immobilize the ankle and promote healing. Physical therapy may also be recommended to help restore mobility and strength to the ankle.

What can I expect after surgery?

When you wake up, you will have a plaster splint over your ankle. Do not take this off and do not get it wet. You will be seen 2 weeks after surgery at which time your surgeon will remove your staples and the plaster slab. Your ankle will then be placed in either a fiberglass cast or an Airboot. You will also be given a prescription for painkillers and antibiotics.

You will need to wear a protective boot or brace for 6 weeks to help protect and support the ankle while the tendons heal. You should avoid putting weight on the affected ankle for a few weeks post-op and apply ice as instructed to help reduce swelling and pain. You will start physical therapy a few weeks after surgery to help improve strength and flexibility of the ankle, and to promote healing. You will gradually begin to put weight on the affected ankle 2 weeks after surgery to help increase mobility and strength. You will be instructed by physio on how to perform daily activities such as showering, dressing, and driving, while keeping weight off the affected ankle. You will have several follow-up appointments with your surgeon to monitor your progress, remove sutures, and evaluate healing.

When can I return to work?

The recovery time after a Brostrom procedure can vary from patient to patient depending on the extent of the injury and the type of work you do. In general, most patients can return to work within 4 to 6 weeks after the surgery, although some may require more time off if their job involves heavy physical activity or standing for long periods of time.

It is important to follow your surgeon's instructions regarding your post-operative care, including proper wound care, physical therapy, and activity restrictions. Your surgeon may also recommend that you modify your work duties or take time off if necessary to allow for proper healing and rehabilitation.

It is important to remember that every patient is different and recovery times can vary. It is essential to communicate with your surgeon and follow their recommendations to ensure a safe and successful return to work.

Conclusion

Peroneal tendon debridement and repair is a surgical procedure that can help to relieve pain, swelling, and limited mobility caused by damage to the peroneal tendons. It is typically performed as an outpatient procedure and involves removing damaged tissue and repairing the tendons using sutures or other techniques. After the procedure, you will likely need to wear a protective boot or brace and undergo physical therapy to help promote healing and restore mobility to the ankle.