Proximal Tibiofibular Joint Reconstruction With a Semitendinosus Allograft for Chronic Instability

Benjamin Kerzner; Enzo S Mameri; Garrett R Jackson; Felipe Casanova; Isolina Boero; Fernando Gómez Verdejo; Robert B Browning; Zeeshan A Khan; Suhas P Dasari; Vince K Morgan; Jorge Chahla

doi:10.1016/j.eats.2022.08.052

Proximal Tibiofibular Joint Reconstruction With a Semitendinosus Allograft for Chronic Instability

Arthrosc Tech. 2022 Dec 21;12(1):e17-e23. doi: 10.1016/j.eats.2022.08.052. eCollection 2023 Jan.

Authors

Benjamin Kerzner^{1

2}, Enzo S Mameri^{1

2

3

4}, Garrett R Jackson^{1

2}, Felipe Casanova^{1

2}, Isolina Boero^{1

2}, Fernando Gómez Verdejo^{1

2}, Robert B Browning^{1

2}, Zeeshan A Khan^{1

2}, Suhas P Dasari^{1

2}, Vince K Morgan^{1

2}, Jorge Chahla^{1

2}

Affiliations

¹ Midwest Orthopaedics at Rush, Chicago, Illinois.
² Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
³ Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil.
⁴ Instituto Brasil de Tecnologias da Saúde, Rio de Janeiro, Brazil.

Abstract

Whereas acute proximal tibiofibular joint (PTFJ) dislocation may require urgent reduction, chronic or recurrent instability may initially be approached with conservative treatment. Indications for PTFJ reconstruction include persistent lateral knee pain and/or tibiofibular instability for which conservative treatment has failed. Owing to the low incidence of diagnosed isolated PTFJ instability, there is still no consensus regarding the optimal surgical treatment, with an array of options having been previously described. We describe the treatment of isolated PTFJ instability using an anatomic reconstruction with semitendinosus allograft for chronic instability.