Split biceps femoris tendon reconstruction for proximal tibiofibular joint instability.

Recurrent instability of the proximal tibiofibular joint is an infrequently diagnosed abnormality. We present a new technique for reconstructing the joint using a split biceps femoris tendon passed through a bone tunnel in both the proximal tibial metaphysis and fibular head. The case report is also presented. The procedure offers an anatomic reconstruction and firm stabilization. It allows normal motion of the proximal tibiofibular joint and preserves the normal mechanics of the ankle. This procedure is an excellent alternative to resection of the fibular head, transarticular arthrodesis, or pseudoarthrosis focus at the fibular head.

[1]  A. Imhoff,et al.  A technical solution for secondary arthritis due to chronic proximal tibiofibular joint instability , 1999, Knee Surgery, Sports Traumatology, Arthroscopy.

[2]  P. Denlinger,et al.  Proximal tibiofibular subluxation relationship to lateral knee pain: a review of proximal tibiofibular joint pathologies. , 1995, The Journal of orthopaedic and sports physical therapy.

[3]  M. Dillingham,et al.  Reconstruction for recurrent dislocation of the proximal tibiofibular joint. A new technique. , 1993, Orthopaedic review.

[4]  P. Keogh,et al.  The role of radiography and computed tomography in the diagnosis of acute dislocation of the proximal tibiofibular joint. , 1993, The British journal of radiology.

[5]  Woods Gw,et al.  Anterolateral dislocation of the proximal tibiofibular joint: case report and literature review. , 1992 .

[6]  Jackson Dw,et al.  Recurrent dislocation of the proximal tibiofibular joint. , 1991 .

[7]  A. Giachino.  Recurrent dislocations of the proximal tibiofibular joint. Report of two cases. , 1986, The Journal of bone and joint surgery. American volume.

[8]  M. Linson,et al.  Isolated dislocation of the proximal tibiofibular joint. , 1986, The Journal of trauma.

[9]  C. Weinert,et al.  Recurrent dislocation of the superior tibiofibular joint. Surgical stabilization by ligament reconstruction. , 1986, The Journal of bone and joint surgery. American volume.

[10]  V. Turco,et al.  Anterolateral dislocation of the head of the fibula in sports , 1985, The American journal of sports medicine.

[11]  D. Resnick,et al.  Proximal tibiofibular joint: anatomic-pathologic-radiographic correlation. , 1978, AJR. American journal of roentgenology.

[12]  Ogden Ja.  The anatomy and function of the proximal tibiofibular joint. , 1974 .

[13]  Ogden Ja.  Subluxation of the proximal tibiofibular joint. , 1974 .

[14]  C. Baciu,et al.  Recurrent luxation of the superior tibio-fibular joint in the adult. , 1974, Acta orthopaedica Scandinavica.

[15]  J. Ogden.  Subluxation and dislocation of the proximal tibiofibular joint. , 1974, The Journal of bone and joint surgery. American volume.

[16]  O. Crothers,et al.  Isolated acute dislocation of the proximal tibiofibular joint. Case report. , 1973, The Journal of bone and joint surgery. American volume.

[17]  J. Parkes,et al.  Isolated acute dislocation of the proximal tibiofibular joint. Case report. , 1973, The Journal of bone and joint surgery. American volume.

[18]  K L Lambert,et al.  The weight-bearing function of the fibula. A strain gauge study. , 1971, The Journal of bone and joint surgery. American volume.

[19]  R. Owen.  Recurrent dislocation of the superior tibio-fibular joint. A diagnostic pitfall in knee joint derangement. , 1968, The Journal of bone and joint surgery. British volume.

[20]  R. Harrison,et al.  Dislocation of the upper end of the fibula. , 1959, The Journal of bone and joint surgery. British volume.

[21]  J. Dennis,et al.  Bilateral recurrent dislocations of the superior tibiofibular joint with peroneal-nerve palsy. , 1958, The Journal of bone and joint surgery. American volume.

[22]  H. H. Lyle.  TRAUMATIC LUXATION OF THE HEAD OF THE FIBULA , 1925, Annals of surgery.