Peroneus Brevis Tenodesis: Side-to-Side or Weave?
Background: Inversion ankle injuries are extremely common, sometimes causing injury to the peroneus brevis tendon. If more than 50% of the tendon is injured, it oftentimes requires tenodesis to the adjacent peroneus longus tendon. Both Pulvertaft (PT) and side-to-side (SS) techniques have been used...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2018-11-01
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| Series: | Foot & Ankle Orthopaedics |
| Online Access: | https://doi.org/10.1177/2473011418797267 |
| _version_ | 1818035622249496576 |
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| author | Cory F. Janney MD, MC, USN Michael Iloanya BA Randal Morris BS Vinod K. Panchbhavi MD, FACS |
| author_facet | Cory F. Janney MD, MC, USN Michael Iloanya BA Randal Morris BS Vinod K. Panchbhavi MD, FACS |
| author_sort | Cory F. Janney MD, MC, USN |
| collection | DOAJ |
| description | Background: Inversion ankle injuries are extremely common, sometimes causing injury to the peroneus brevis tendon. If more than 50% of the tendon is injured, it oftentimes requires tenodesis to the adjacent peroneus longus tendon. Both Pulvertaft (PT) and side-to-side (SS) techniques have been used for joining the 2 tendons. The purpose of this study was to compare the strength and stiffness of these 2 techniques. Methods: Five matched pairs of cadaver ankle specimens were randomized to receive either an SS or PT tenodesis of the peroneus brevis to longus tendons. Following the tenodesis, the specimens were tested for failure load, displacement, energy absorbed at failure, and peak load. Stiffness was also calculated. Paired t tests were performed to detect differences between the 2 conditions. Results: There were no statistically significant differences between the SS and PT tenodesis for any of the metrics measured. For stiffness, the techniques were very similar (SS = 10.14 [4.35], PT = 12.85 [1.72]). Conclusion: There is no difference in failure load, displacement, energy absorbed at failure, peak load or stiffness between the PT and SS techniques for peroneal tenodesis. Level of Evidence: Level V, cadaver study. |
| first_indexed | 2024-12-10T06:57:59Z |
| format | Article |
| id | doaj.art-a0f9cd052d6b45ba8f2df351f8951057 |
| institution | Directory Open Access Journal |
| issn | 2473-0114 |
| language | English |
| last_indexed | 2024-12-10T06:57:59Z |
| publishDate | 2018-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Foot & Ankle Orthopaedics |
| spelling | doaj.art-a0f9cd052d6b45ba8f2df351f89510572022-12-22T01:58:24ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142018-11-01310.1177/2473011418797267Peroneus Brevis Tenodesis: Side-to-Side or Weave?Cory F. Janney MD, MC, USN0Michael Iloanya BA1Randal Morris BS2Vinod K. Panchbhavi MD, FACS3 Naval Medical Center San Diego, CA, USA Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, TX, USA Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, TX, USA Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, TX, USABackground: Inversion ankle injuries are extremely common, sometimes causing injury to the peroneus brevis tendon. If more than 50% of the tendon is injured, it oftentimes requires tenodesis to the adjacent peroneus longus tendon. Both Pulvertaft (PT) and side-to-side (SS) techniques have been used for joining the 2 tendons. The purpose of this study was to compare the strength and stiffness of these 2 techniques. Methods: Five matched pairs of cadaver ankle specimens were randomized to receive either an SS or PT tenodesis of the peroneus brevis to longus tendons. Following the tenodesis, the specimens were tested for failure load, displacement, energy absorbed at failure, and peak load. Stiffness was also calculated. Paired t tests were performed to detect differences between the 2 conditions. Results: There were no statistically significant differences between the SS and PT tenodesis for any of the metrics measured. For stiffness, the techniques were very similar (SS = 10.14 [4.35], PT = 12.85 [1.72]). Conclusion: There is no difference in failure load, displacement, energy absorbed at failure, peak load or stiffness between the PT and SS techniques for peroneal tenodesis. Level of Evidence: Level V, cadaver study.https://doi.org/10.1177/2473011418797267 |
| spellingShingle | Cory F. Janney MD, MC, USN Michael Iloanya BA Randal Morris BS Vinod K. Panchbhavi MD, FACS Peroneus Brevis Tenodesis: Side-to-Side or Weave? Foot & Ankle Orthopaedics |
| title | Peroneus Brevis Tenodesis: Side-to-Side or Weave? |
| title_full | Peroneus Brevis Tenodesis: Side-to-Side or Weave? |
| title_fullStr | Peroneus Brevis Tenodesis: Side-to-Side or Weave? |
| title_full_unstemmed | Peroneus Brevis Tenodesis: Side-to-Side or Weave? |
| title_short | Peroneus Brevis Tenodesis: Side-to-Side or Weave? |
| title_sort | peroneus brevis tenodesis side to side or weave |
| url | https://doi.org/10.1177/2473011418797267 |
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