Bilateral Recurrent Dislocations of the Superior Tibiofibular Joint with Peroneal-Nerve Palsy

Successful Fusion of the Proximal Tibiofibular Joint with Osteogenic Protein-1 (OP-1) Augmentation

“…Pain may be also be elicited by dorsiflexion and eversion of the ankle (because of the external rotation of the fibula associated with those movements) and also by knee extension [6]. With posteromedial dislocations, there can also be a transient peroneal nerve palsy, resulting in weakness of dorsiflexion of the ankle and/or decreased sensation in the distributions of the deep or superficial peroneal nerves [4,5,[8][9][10]. Chronic PTFJ instability, on the other hand, may be associated with signs and symptoms that are often much less pronounced.…”

Gracilis Autograft for Recurrent Posttraumatic Instability of the Superior Tibiofibular Joint

“…No patients had symptoms of transient peroneal nerve palsy, as frequently happens in posteromedial dislocation. 5,16,17 We documented no alterations of functional status of the peroneal nerve by electromyography in all the patients.…”

“…5,6 Our technique for reconstruction of the superior tibiofibular joint using the gracilis tendon has the advantage of using the ipsilateral gracilis tendon instead of the biceps femoris tendon. It includes graft harvest through a small incision, which can then also be used to weave the graft between tibia and fibula.…”

Split biceps femoris tendon reconstruction for proximal tibiofibular joint instability

“…20 Many forms of treatment have been described for dislocations of the proximal tibiofibular joint. 1,2,4,12,15,21,22 Acute dislocations, when recognized, should be reduced and the knee immobilized until stability is established. 1,2,4,5,12 Surgery is often required in cases of chronic dislocation or for those that fail closed reduction.…”