Procedure
Peroneal Tendon Repair & Subluxation Correction
For Peroneal Tendon Pathology
What It Involves
Surgery for peroneal tendon pathology is tailored to the specific findings and performed through an incision behind and below the outer ankle bone. For tendon tears, the tendons are exposed, degenerate or torn tissue is debrided, and longitudinal tears are repaired by tubularising the tendon — suturing the split edges back together to restore a smooth, round tendon profile. For subluxation, the groove behind the fibula is deepened to create a more secure channel, and the superior peroneal retinaculum is repaired and tightened to prevent further dislocation.
Both components may be performed in the same operation when tears and subluxation coexist, and ligament reconstruction can be added at the same time if significant lateral ankle instability also coexists. The procedure typically takes 45–75 minutes.
Recovery Timeline
Everyone heals at a different rate — this timeline is a guide.
Weeks 1–2
Non-weight-bearing in a cast, protecting the tendon and retinacular repair. The wound is checked and sutures removed at 2 weeks, with transition into a surgical boot from this point.
Weeks 2–4
Weight-bearing in the surgical boot as comfort allows.
Weeks 4–6
Weight-bearing progresses, transitioning into supportive footwear and an ankle brace. A clinical review at 6 weeks marks the start of physiotherapy.
8–10 weeks
Most patients return to running from this point, guided by physiotherapy progress.
3 months
Full sport for most patients, with a final review and discharge at this stage. An ankle brace is recommended during rehabilitation and for return to sport, though long-term use isn't usually required once strength and proprioception are fully restored.