Vitor Hugo Pinheiro, Pedro Marques, Kyle Borque, Rúben Fonseca, Fernando Fonseca, Andy Williams
{"title":"腓骨近端切除后以胫骨为基础的后外侧角重建可恢复膝关节稳定性：1例报告。","authors":"Vitor Hugo Pinheiro, Pedro Marques, Kyle Borque, Rúben Fonseca, Fernando Fonseca, Andy Williams","doi":"10.13107/jocr.2025.v15.i01.5154","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Fibular- and tibiofibular-based reconstructions are the gold standard treatment for posterolateral corner (PLC) injuries of the knee. This is the first report describing a wholly tibial-based PLC reconstruction.</p><p><strong>Case report: </strong>A 50-year-old female presented with knee instability following proximal fibular resection for a benign tumor, associated with chronic anterior cruciate ligament (ACL) deficiency from a previous injury. Magnetic resonance imaging (MRI) showed fibular collateral ligament (FCL) and distal biceps femoris complete detachment. ACL reconstruction was combined with revision PLC reconstruction, placing the distal grafts, due to lack of fibula, both into the tibia. At 24-month follow-up, the patient reported excellent clinical outcomes.</p><p><strong>Conclusion: </strong>In cases related to proximal fibula deficiency from resection or congenital causes, a wholly tibial-based PLC reconstruction can effectively restore stability.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 1","pages":"139-144"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723759/pdf/","citationCount":"0","resultStr":"{\"title\":\"Tibial-based Posterolateral Corner Reconstruction Following Proximal Fibula Resection Restores Knee Stability: A Case Report.\",\"authors\":\"Vitor Hugo Pinheiro, Pedro Marques, Kyle Borque, Rúben Fonseca, Fernando Fonseca, Andy Williams\",\"doi\":\"10.13107/jocr.2025.v15.i01.5154\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Fibular- and tibiofibular-based reconstructions are the gold standard treatment for posterolateral corner (PLC) injuries of the knee. This is the first report describing a wholly tibial-based PLC reconstruction.</p><p><strong>Case report: </strong>A 50-year-old female presented with knee instability following proximal fibular resection for a benign tumor, associated with chronic anterior cruciate ligament (ACL) deficiency from a previous injury. Magnetic resonance imaging (MRI) showed fibular collateral ligament (FCL) and distal biceps femoris complete detachment. ACL reconstruction was combined with revision PLC reconstruction, placing the distal grafts, due to lack of fibula, both into the tibia. At 24-month follow-up, the patient reported excellent clinical outcomes.</p><p><strong>Conclusion: </strong>In cases related to proximal fibula deficiency from resection or congenital causes, a wholly tibial-based PLC reconstruction can effectively restore stability.</p>\",\"PeriodicalId\":16647,\"journal\":{\"name\":\"Journal of Orthopaedic Case Reports\",\"volume\":\"15 1\",\"pages\":\"139-144\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723759/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Orthopaedic Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.13107/jocr.2025.v15.i01.5154\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.13107/jocr.2025.v15.i01.5154","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Tibial-based Posterolateral Corner Reconstruction Following Proximal Fibula Resection Restores Knee Stability: A Case Report.
Introduction: Fibular- and tibiofibular-based reconstructions are the gold standard treatment for posterolateral corner (PLC) injuries of the knee. This is the first report describing a wholly tibial-based PLC reconstruction.
Case report: A 50-year-old female presented with knee instability following proximal fibular resection for a benign tumor, associated with chronic anterior cruciate ligament (ACL) deficiency from a previous injury. Magnetic resonance imaging (MRI) showed fibular collateral ligament (FCL) and distal biceps femoris complete detachment. ACL reconstruction was combined with revision PLC reconstruction, placing the distal grafts, due to lack of fibula, both into the tibia. At 24-month follow-up, the patient reported excellent clinical outcomes.
Conclusion: In cases related to proximal fibula deficiency from resection or congenital causes, a wholly tibial-based PLC reconstruction can effectively restore stability.
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