Allograft Replacement for Peroneal Tendon TearsOusema, Paul Hero MSc; Nunley, James Albert MDTechniques in Foot & Ankle Surgery: June 2010 - Volume 9 - Issue 2 - pp 72-75 doi: 10.1097/BTF.0b013e3181e0be7d Techniques Abstract Author Information Current treatment options for chronic ruptures of both the peroneus longus and brevis tendon with a large tendon defect are limited. Previous recommendations have included tendon transfer, tenodesis, or a 2-stage procedure. We present a novel technique for management of tendon defects greater then 4 cm with the use of peroneal allograft reconstruction. This has proven to be an effective single-stage treatment option when there is a well functioning proximal muscle, even in the face of large tendon gaps. This technique results in an anatomic reconstruction without violation of another tendon for transfer or tenodesis and is a one-stage procedure. Division of Orthopaedic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC No funds of support were used for this article. Address correspondence and reprint requests to: James Albert Nunley, MD, Division of Orthopaedic Surgery, Department of Surgery, Duke University Medical Center, Box 2923, Durham, NC 27710. E-mail: firstname.lastname@example.org © 2010 Lippincott Williams & Wilkins, Inc.