Surgical Treatment of Peroneus Brevis Tendon Repair with and without Human Amniotic Allograft: A Comparison Study

J Joseph Anderson, Adebola T Adeleke, Brittany Rice and Zflan Swayzee

Department of Podiatric Surgery, American Foundation of Lower Extremity Surgery and Research, Alamogordo, NM, USA 2 Department of Podiatric Surgery, Scripps Mercy Hospital, San Diego, CA, USA

^*Correspondance to: Adebola T Adeleke 

 PDF  Full Text DOI: 10.25107/2474-1647.1515

Abstract

Surgically repairing peroneus brevis tendon tears include postoperative complications such as adhesions, which is concerning given the period of postoperative immobilization. The use of human amniotic allograft (HAA) has been found to have anti-microbial, anti-fibrotic, anti-inflammatory, and analgesic properties. These benefits may help decrease postoperative adhesions and pain. All patients included in the study (129) were surgically treated for longitudinal peroneus brevis tendon tear. The procedure included the Triad procedure (ankle arthroscopy, lateral ankle ligament reconstruction, and peroneal retinacular tightening), tubularization of the tendon, and debridement of low lying peroneus muscle belly, if present. Some patients (58) had their repair augmented with HAA, while others (71) did not. There was no significant between the two groups in terms of gender, age and modified American College of Foot and Ankle Surgeons hindfoot and ankle scores preoperatively or pain scores preoperatively. There was significance in postoperative physical therapy times between the control group (7.01 weeks) to the graft group (5.21 weeks) (p<0.001). Mean postoperative visual analog scales between the human amniotic allograft and control group were 1.24 and 1.62 respectively and also rendered statistically significant (p<0.001). The authors found the use of human amniotic allograft to be a viable and effective adjunct in peroneal tendon repair with reduced postoperative pain, physical therapy time with minimal or no associated complications.

Keywords

Tendon repair; Triad procedure; Dehydrated placental allograf

Cite the article

Anderson JJ, Adeleke AT, Rice B, Swayzee Z. Surgical Treatment of Peroneus Brevis Tendon Repair with and without Human Amniotic Allograft: A Comparison Study. Clin Surg. 2017; 2: 1515.