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Bones of the Lower Limb: Tibia and Fibula

Bones of the Lower Limb: Tibia and Fibula

The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...

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Updated: May 5, 2026

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

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Proximal Tibiofibular Joint Stabilization Using an Adjustable-Length Suspensory Fixation Device.

Ajay C Kanakamedala¹, Maximilian Hinz², YuChia Wang¹

¹Steadman-Philippon Research Institute, Vail, Colorado, USA.

Video Journal of Sports Medicine

|May 1, 2025

Summary

Proximal tibiofibular joint instability can be treated with an adjustable-length suspensory fixation device. This safe and feasible surgical option requires accurate diagnosis before proceeding.

Keywords:

button cortical joint proximal reconstruction suspensory tibiofibular

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Area of Science:

Orthopedic Surgery
Sports Medicine
Knee Injuries

Background:

Proximal tibiofibular joint (PTFJ) injuries are uncommon, with unclear optimal treatment strategies.
Surgical options for PTFJ instability include allograft reconstruction, screw fixation, arthrodesis, fibular resection, and suspensory fixation devices.

Purpose of the Study:

To describe a technique for PTFJ stabilization using an adjustable-length suspensory fixation device.
To evaluate the safety and feasibility of this surgical approach.

Main Methods:

A posterolateral approach to the knee was used for device placement.
The technique involves stabilization using an adjustable-length suspensory fixation device.

Main Results:

A prior review indicated that 59% of PTFJ dislocations were successfully treated nonoperatively.
Limited data currently exist on the outcomes of using adjustable-length suspensory fixation devices for PTFJ stabilization.

Conclusions:

Stabilization of PTFJ instability with an adjustable-length suspensory fixation device is a safe and technically feasible surgical option.
Accurate diagnosis of symptomatic PTFJ instability, confirmed by taping or injection, is crucial before surgical intervention.