TechniquesMinimally Invasive Approach for the Reconstruction of the Peroneal Brevis Tendon Using Semitendinosus Autograft: An Alternative Technique to Avoid Soft Tissue ComplicationsNishikawa, Danilo Ryuko C. MD*; Duarte, Fernando A. MD†; Saito, Guilherme H. MD‡; Monteiro, Augusto C. MD, MS*; Netto, Cesar de Cesar MD, PhD§; Prado, Marcelo P. MD, PhD‡Author Information *Department of Orthopaedics, Foot and Ankle Surgery, Hospital of the Municipal Public Servant of São Paulo (HSPM) †Department of Orthopaedics, Foot and Ankle Surgery, Ortocity Orthopedic Clinic ‡Department of Orthopaedics, Foot and Ankle Surgery, Hospital Israelita Albert Einstein, São Paulo, Brazil §Department of Orthopaedics, Foot and Ankle Surgery, University of Iowa, Iowa City, Iowa This study was approved by the Ethics Committee of the Hospital do Servidor Municipal de São Paulo, São Paulo, Brazil. All patients signed a free and informed consent form to participate. The authors declare no conflict of interest. Address correspondence and reprint requests to Danilo Ryuko C. Nishikawa, MD, Department of Orthopaedic Foot and Ankle Surgery, Hospital do Servidor Municipal de São Paulo (HSPM), 60, Castro Alves Street, Aclimação, CEP: 01532-000 São Paulo, SP, Brazil. E-mail: [email protected]. Techniques in Foot & Ankle Surgery: December 2020 - Volume 19 - Issue 4 - p 220-224 doi: 10.1097/BTF.0000000000000250 Buy Metrics Abstract Surgical treatment of irreparable tears of the peroneal brevis tendon has been widely performed with reconstruction of the tendon using semitendinosus tendon allograft or autograft. However, it is carried out through a long lateral curved incision prone to soft tissue complications such as scar tenderness, sural nerve lesion, wound dehiscence, and swelling. We present a less invasive approach through 2 short incisions, preserving the lateral soft tissues of the hindfoot. It represents an effective and safe alternative to the long lateral curved approach. Besides that, it can be useful to treat patients at risk of wound healing complications such as smokers, vasculopaths and diabetics. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.