Peroneal Tendon Repair

Mammoth Orthopedic Institute / Sierra Park PT · Stephen Knecht MD; Julie Perumal PT DPT

Weight-Bearing

NWB x2 weeks (splint); NWB to WBAT 2-4 weeks (CAM boot); PWB progressing to WBAT with CAM boot/crutches x6 weeks (x8 weeks for full rupture); FWB in supportive shoes after 6-8 weeks

Key Restrictions

No ankle inversion/PF x2 weeks; no resistance ankle strengthening x6 weeks; no passive stretching into inversion/PF; no plyometric training x10 weeks; no running x12 weeks

Timeline & Phases

4 phases: Phase I (0-4 wks, NWB splint then CAM boot), Phase II (4-6 wks, PWB-WBAT CAM boot with crutches), Phase III (6-8 wks, FWB supportive shoes, initiate ankle strength), Phase IV (8-12 wks, single leg balance, agility, plyometrics)

Notes

Full rupture with end-to-end suture: delay WB to 8 weeks; pass return to sport test before sports; Julie Perumal PT DPT 7/11/19; Stephen Knecht MD 9/23/19

Surgeon / Author

Stephen Knecht MD; Julie Perumal PT DPT

Published

2019