Surgical stabilisation of the proximal tibiofibular joint using temporary fixation: a technical note.
Proximal tibiofibular instability is a symptomatic hypermobility of this joint possibly associated with subluxation. It is a rare condition both in clinical practice and in literature. The treatment of choice for proximal tibiofibular instability remains conservative, using a brace 1 cm underneath the head of the fibula. If no improvement is noted after six months of conservative treatment, surgical intervention can be considered: there are several options, such as resection of the head of the fibula, permanent arthrodesis of the proximal tibiofibular joint, reconstruction using either the tendon of the biceps femoris or a portion of the iliotibial tract, or temporary (three to six months) fixation using a screw together with release of the peroneal nerve.
van den Bekerom
Michel P J
MP
Medical Centre Haaglanden, Antoniushove Hospital, Leidschendam, The Netherlands.
Weir
Adam
A
van der Flier
Rudolf E
RE
D001863:Bone Screws; D005260:Female; D005360:Fibula / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000601:surgery*; D007719:Knee Joint / Q000503:physiopathology / Q000601:surgery; D008297:Male; D010027:Osteotomy / Q000379:methods*; D011379:Prognosis; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods; D020127:Recovery of Function; D018570:Risk Assessment; D012494:Sampling Studies; D016896:Treatment Outcome