Peroneal sheath reconstruction in the growing child.
The authors recommend the procedure described above specifically for children with congenital or acquired subluxation or dislocation of the peroneal tendons, but they advise against using this procedure alone when calcaneovalgus deformity is present and anterior dislocation of the peroneal tendons occurs as a result of spasticity. It may, however, have a place as part of a combined procedure to correct the spastic deformity. Reconstruction of the superior peroneal retinaculum is accomplished with a strong ligamentous structure, appropriately oriented and directed, without loss of lateral ankle stability. The authors believe that the complication of partial or complete fibular physeal arrest can be avoided, and that redislocation of the peroneal tendons as the child grows out of the repair can be eliminated. Therefore, this procedure is suggested as the procedure of choice for a growing child with anterior luxation or dislocation of the peroneal tendons and an intact calcaneofibular ligament. Properly performed, it will enable these children to return to the vigorous physical activity they desire.