How successful is peroneal tendon surgery?
Many people do very well with surgery, they are in a walking boot after 2 weeks, into physical therapy soon after, and for the most part, complete a successful recovery and are happy with their surgical outcomes. These are not the patients we see in our office.
How long after peroneal tendon surgery can I walk?
Use your crutches, walker, or knee scooter for a total of 4 weeks after surgery. You may begin walking without the boot when you are 8 weeks from surgery. Returning to driving will depend on which ankle has surgery and use of narcotic medications.
How long is recovery from peroneal tendon surgery?
Recovery from surgical repair of your peroneal tendon typically takes about four months. Your ankle will feel weak when it comes out of the cast and it is important to perform gentle range of motion exercises three or four times a day for three or four weeks after your cast is removed.
How do you Tubularize a tendon?
The actual tendon repair is a tubularization procedure. This involves debriding the tendon of the torn regions and repairing it with a thin, non-absorbable suture of the surgeon’s choice. I prefer a 4-0 nylon suture with a running locking suturing technique.
Should I have peroneal tendon surgery?
Peroneal tendonitis and tendon ruptures can cause severe pain and immobility if left untreated, while early treatment can help patients avoid ruptures. But expect patients to require surgery when they have full ruptures or fail to respond to conservative treatment.
Is peroneal tendon surgery painful?
Some pain, swelling, and bruising is expected after surgery. It is usually most severe for the first 2-3 days. The following strategies are especially important during this time. Try to anticipate an increase in pain when the nerve block (if administered) wears off, usually within 12-24 hours.
What happens during peroneal tendon surgery?
The operation is an open procedure, that is not a key-hole procedure. An incision is made over the peroneal tendons, and the tendons assessed for damage. If the tendon is torn then it can be repaired with sutures. If the cause is degeneration and swelling then the the pathological tissue is simply excised.
What is a Kessler suture?
In the Kessler repair, the suture is anchored to the tendon at all 4 corners with a knot. This knot prevents the suture from moving within the tendon substance. In the variant of Urbaniak et al, a loop is used at each corner, instead of a knot.
https://www.youtube.com/watch?v=GxRJH2f–P0