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Split biceps femoris tendon reconstruction for proximal tibiofibular joint instability
H Mena1, B Brautigan, D L Johnson
1Section of Sports Medicine, Division of Orthopaedic Surgery, University of Kentucky College of Medicine, Lexington, Kentucky, USA.
Summary
A novel surgical technique reconstructs the proximal tibiofibular joint using a biceps femoris tendon graft. This method provides stable, anatomic repair, preserving ankle function and joint motion for instability cases.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Anatomy
Background:
- Recurrent proximal tibiofibular joint instability is uncommon and often underdiagnosed.
- Current treatment options include fibular head resection, arthrodesis, or pseudoarthrosis, which may compromise joint function.
Observation:
- A new surgical technique utilizes a split biceps femoris tendon passed through bone tunnels in the proximal tibia and fibular head for joint reconstruction.
- A case report detailing the procedure and its outcomes is presented.
Findings:
- The described technique achieves an anatomic reconstruction of the proximal tibiofibular joint.
- It provides firm stabilization while allowing normal joint motion and preserving ankle mechanics.
Implications:
- This procedure offers a viable alternative to more destructive surgical options for proximal tibiofibular joint instability.
- It may improve patient outcomes by maintaining joint function and ankle biomechanics.