When should surgery be considered?
Surgery can be discussed when pain or instability persists despite non-operative care, when there is a significant tear, or when a tendon repeatedly dislocates or subluxes.
← All treatments
Tear • rupture • instability
Peroneal tendon surgery
The peroneal tendons contribute to lateral stability of the foot and ankle. Surgery is tailored to the lesion: tear, rupture, degeneration or instability behind the outer ankle bone.
Key point
The choice of procedure depends on the diagnosis, alignment, tissue quality, activity level and the patient’s goals. Recovery protocols are individualised.
Illustrative diagram – Peroneal tendon surgery
Illustration
Visualising the procedure
This illustration highlights the peroneal tendons and the procedures used when there is tearing, irritation or instability.
Indications
Technique
Repair, stabilise or reconstruct
Depending on the lesion, treatment may include debridement of degenerated tissue, tendon repair, retinacular stabilisation, deepening of the fibular groove or reconstruction/tenodesis when the tendon is severely damaged.
Associated problems
Why assess the whole ankle?
Ligament instability or abnormal foot alignment can contribute to peroneal tendon disorders. When relevant, these factors should be addressed at the same time to reduce recurrence risk.
Recovery
Protect before strengthening
The duration of protection and restricted weight-bearing depends on the repair; several weeks are common. Rehabilitation then progressively restores motion, strength and lateral ankle control.
Risks & limitations
Main risks
Risks include infection, wound-healing problems, irritation or injury of the sural nerve, stiffness, persistent pain or recurrent tendon injury.
Source patient : AOFAS / FootCareMD. General information, to be adapted to each clinical situation.
Helping you move forward, step by step.
A consultation is an opportunity to discuss your situation, goals and the different treatment options.