A Simple Approach for Guiding the Direction of Bone Drill During Intramedullary Reaming in Indirect Fibular Groove Deepening: A Technical Tip
1 Department of Orthopaedics, Mianzhu City People’s Hospital, 618200 Mianzhu, Sichuan, China
2 Department of Orthopaedics, Sichuan Provincial People’s Hospital, 610000 Chengdu, Sichuan, China
Correspondence to: Bin Zhang, Department of Orthopaedics, Sichuan Provincial People’s Hospital, 610000 Chengdu, Sichuan, China (e-mail: zbxva123@163.com).
Copyright © 2025 The Author(s).
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
Various techniques have been developed to treat peroneal tendon subluxation or dislocation, including superior peroneal retinaculum (SPR) reinforcement and repair, tendon rerouting, tissue transfer, bone blocking, groove deepening, and indirect groove deepening. Indirect fibular groove deepening is typically performed by accessing the intramedullary cavity through the distal fibula. Precise control of drilling direction and depth during intramedullary reaming is critical. In this paper, we introduce a novel technique to guide the direction of the bone drill during indirect fibular groove deepening. This method improves upon the existing indirect fibular groove deepening technique, offering an economical, simple, and equipment-independent solution.
Keywords
- peroneal tendon subluxation
- peroneal tendon dislocation
- fluoroscopy-guided groove deepening
- fibular groove
- case report