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Review
. 2022 May;25(3):177-180.
doi: 10.1016/j.cjtee.2021.04.006. Epub 2021 Apr 30.

Proximal tibiofibular stabilization by anatomical ligamentoplasty and diaphyseal osteotomy of the fibula

Choufani Camille  1 , Barbier Olivier  2
Affiliations
Review

Proximal tibiofibular stabilization by anatomical ligamentoplasty and diaphyseal osteotomy of the fibula

Choufani Camille et al. Chin J Traumatol. 2022 May.

Abstract

Proximal tibiofibular instability is a rare condition for which treatment is poorly codified. A 21-year-old patient, a leisure sportswoman, presented a post-traumatic anterolateral instability of the proximal tibiofibular articulation without cartilage lesion. We propose an original surgical technique based on a review of the literature that combines an anatomical ligamentoplasty of the proximal tibiofibular joint and a proximal fibular diaphyseal osteotomy to reduce the distal tibiofibular mechanical stresses. This original technique allows a favorable evolution with recovery of professional and sports activities at 6 months.

Keywords: Fibular osteotomy; Joint instability; Ligamentoplasty; Proximal tibiofibular instability.

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Figures

Fig. 1
Fig. 1
Intraoperative aspect of anatomical ligamentoplasty in the framework of the proximal tibiofibular joint by a gracilis tendon. The course of the tendon that is ultimately sutured to itself is illustrated.
Fig. 2
Fig. 2
Frontal radiographic appearance.
Fig. 3
Fig. 3
Surgical technique (orange: ligamentoplasty; blue: common fibular nerve); this figure illustrates the course of the tendon between the tibia and the fibula.
See this image and copyright information in PMC

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