Peroneal Tendon Surgery
Surgery
Surgery is performed on the peroneal tendons for painful tears or recurrent subluxation when the non-surgical treatments have not worked. Sometimes, the surgery is combined with surgical reconstruction of ankle ligament problems.
The surgery is done as an outpatient, and you will require a general anesthetic.
You will usually have a curving scar about 3 – 4 inches long on the outside of the ankle.
Day of Surgery
At the end of the surgical procedure the wound is covered and a short leg plaster splint is applied. That dressing gives support to your ankle, holding it securely. You should leave that in place until I change it at the first post-operative office visit.
You will be given crutches at the surgery center, and I want you to not put any weight on that leg during the first week. Do not walk on the splint.
Look here for things to watch for after outpatient surgery.
Post-operative Course
Dealing with post-operative pain will be your major concern for the first few days.
Most people find that for the first few days after surgery their foot will feel better if it is elevated. Generally, if you let it hang down for any period of time it will throb and you may have more swelling. You can put it into whatever position feels best, but usually that will be elevated with a pillow under the foot.
The first post-operative visit is usually 7 – 10 days after surgery. I will remove the splint and dressings, wash your leg, and take out the skin stitches.
I will usually prescribe a CAM Walker, a removable walking boot, and you will use that for protected weightbearing until 6 weeks after surgery. After 6 weeks a shoe may be worn for walking. Running and jumping activities should be avoided until 3 - 4 months after surgery.
In some instances I may recommend that a short leg walking cast be used until 6 weeks after surgery. That decision is made depending on the findings at the time of surgery. If that is the case, the CAM Walker would be used for protected weightbearing for 6 weeks after the walking cast. The course of recovery will be delayed 6 weeks.
The CAM Walker must be used for protected weightbearing until 3 months after the surgery. It may be removed for bathing, when sleeping at night, and to do gentle active exercises. Sporting activities are not resumed until 4 – 6 months after surgery.
Final Results
The goal of the surgery is to leave you with a painless foot and ankle that will allow normal activities. You should be able to regain full strength and power in the leg, and have no restriction of motion. Some patients will have some mild soreness still. Some will notice discomfort when the weather changes.
Complications
Complications can occur after any surgery. Go here for a general discussion of Surgical Complications.
Specific risks for this surgery include sural nerve injury with numbness over the lateral foot, and persistent lateral ankle pain.