title: Split biceps femoris tendon reconstruction for proximal tibiofibular joint instability.
abstract: 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.
authors.affiliation: Section of Sports Medicine, Division of Orthopaedic Surgery, University of Kentucky College of Medicine, Lexington, Kentucky, USA.
authors.forename: H
authors.initials: H
authors.lastname: Mena
authors.forename: B
authors.initials: B
authors.lastname: Brautigan
authors.forename: D L
authors.initials: DL
authors.lastname: Johnson
mesh_terms: D000328:Adult; D001484:Baseball / Q000293:injuries*; D001915:Braces; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D007718:Knee Injuries / Q000175:diagnosis / Q000601:surgery*; D007719:Knee Joint / Q000503:physiopathology; D016059:Range of Motion, Articular; D013180:Sprains and Strains / Q000175:diagnosis / Q000534:rehabilitation; D013708:Tendon Injuries; D013710:Tendons / Q000601:surgery*; D016896:Treatment Outcome