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Cortical Button Fixation for Proximal Tibiofibular Instability: A Technical Report.

Edward C Beck¹, Anirudh K Gowd¹, Darren Nabor¹

¹Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina, U.S.A.

Arthroscopy Techniques

|October 7, 2020

Summary

This summary is machine-generated.

Proximal tibiofibular joint (PTFJ) instability can cause pain and nerve issues in athletes. A cortical button suspensory device offers a novel fixation method for PTFJ reconstruction, avoiding grafts or screws.

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Area of Science:

Orthopedic Surgery
Sports Medicine
Biomechanics

Background:

Proximal tibiofibular joint (PTFJ) instability is a rare injury, often affecting athletes during activities involving knee flexion and rotation.
Symptoms include painful subluxations and potential neuritic symptoms due to common peroneal nerve impingement.
Current literature lacks an optimal treatment for symptomatic PTFJ instability.

Purpose of the Study:

To describe a surgical technique for PTFJ instability using a cortical button suspensory device.
To evaluate the advantages, disadvantages, pearls, and pitfalls of this operative method.

Main Methods:

Technical report detailing the operative procedure for PTFJ reconstruction.
Utilizes a cortical button suspensory device for joint fixation.
Focuses on stabilizing the PTFJ without requiring free graft harvest or rigid screw fixation.

Main Results:

The cortical button suspensory device provides stabilization of the PTFJ.
This technique avoids the morbidity associated with free graft harvest.
Eliminates the need for rigid screw fixation, potentially offering advantages in certain cases.

Conclusions:

The cortical button suspensory device is a viable option for PTFJ reconstruction.
This method offers potential benefits over traditional techniques.
Further studies are warranted to establish its long-term efficacy and optimal indications.