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Bilateral Traumatic Calcaneocuboid Joint Instability Treated With the Modified Tunnel Technique: A Case Report
Pradeep Moonot1, Nishant Jaiswal, Kunal Chaudhari
1Department of Orthopaedics, Mumbai Knee Foot and Ankle Clinic, Bandra West, Mumbai, India.
JBJS Case Connector
|May 22, 2026
Summary
This study presents a novel fiber-tape technique for reconstructing simultaneous bilateral calcaneocuboid joint (CCJ) injuries. The minimally invasive procedure demonstrated significant improvements in pain and function for a patient with complex CCJ damage.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Foot and ankle reconstruction
Background:
- Simultaneous bilateral calcaneocuboid joint (CCJ) injuries are rare and challenging to treat.
- Conservative management often fails for significant CCJ injuries involving ligamentous and osteochondral damage.
Purpose of the Study:
- To describe a novel surgical technique for simultaneous bilateral CCJ reconstruction.
- To evaluate the clinical outcomes of this minimally invasive procedure.
Main Methods:
- A 39-year-old female patient with bilateral CCJ injuries underwent reconstruction using fiber-tape.
- Preoperative and 2-year postoperative outcomes were assessed using Visual Analogue Scale (VAS), Foot and Ankle Disability Index (FADI), and SF-12 (MCS and PCS).
Main Results:
- Significant improvements were observed in VAS (8 to 2), FADI (22.8% to 72.8%), SF-12 Mental Component Summary (MCS) (30.1 to 61.2), and Physical Component Summary (PCS) (27.4 to 50.6) at 2-year follow-up.
- The patient experienced good functional recovery and pain reduction.
Conclusions:
- Fiber-tape reconstruction is a simple and effective method for stabilizing simultaneous bilateral CCJ injuries.
- This technique offers a good outcome with minimal morbidity for select patients.
