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Knee Joint

Knee Joint

The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...

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Related Experiment Video

Updated: Jan 18, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Arthroscopic-Assisted Tibiofibular-Based Posterolateral Corner Knee Reconstruction.

Steven Heylen^1,2,3, Matthias Krause⁴, Peter Verdonk^3,5

¹Department of Trauma and Orthopaedics, Heilig Hart Ziekenhuis Lier, Lier, Belgium.

Arthroscopy Techniques

|September 12, 2025

Summary

This study presents a modified tibiofibular-based posterolateral corner knee reconstruction technique. The minimally invasive arthroscopic approach for the tibial tunnel potentially improves outcomes for lateral collateral ligament injuries.

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Last Updated: Jan 18, 2026

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Area of Science:

Orthopedic Surgery
Sports Medicine
Knee Biomechanics

Background:

Posterolateral corner (PLC) knee injuries involve damage to crucial stabilizing structures.
Tibiofibular-based reconstructions offer good clinical outcomes for PLC injuries.
The Versailles technique utilizes a curved femoral tunnel to mitigate tunnel collision risks.

Purpose of the Study:

To describe a modified tibiofibular-based posterolateral corner knee reconstruction technique.
To introduce a minimally invasive arthroscopic approach for tibial tunnel drilling.
To detail graft passage using posterolateral and direct lateral portals.

Main Methods:

Modification of the Versailles tibiofibular-based technique.
Arthroscopic drilling of the tibial tunnel via two posterolateral portals.
Graft passage to the direct lateral portal.
Conversion to a dual mini-open approach for femoral and fibular tunnel creation.

Main Results:

The modified technique allows for arthroscopic tibial tunnel drilling, avoiding extensive posterior tibial dissection.
It facilitates graft passage through established portals.
The approach combines minimally invasive elements with a mini-open procedure for comprehensive reconstruction.

Conclusions:

This modified Versailles technique offers a minimally invasive arthroscopic option for tibial tunnel creation in tibiofibular-based PLC reconstructions.
It aims to preserve the benefits of the original technique while reducing surgical invasiveness.
Further studies are needed to evaluate the clinical outcomes of this modified approach.