| Autor: |
Iwabuchi, T., Tateishi, T., Nagase, T. |
| Zdroj: |
Japanese Journal of Clinical Sports Medicine / Nihon Rinsho Supotsu; 2023, Vol. 31 Issue 3, p515-520, 6p |
| Abstrakt: |
We report a rare case of proximal tibiofibular instability treated using TightRope. An 18-year-old male, soccer player, hit his right knee on the ground with the knee in a flexed position during a game. He was diagnosed with a partial PCL injury by his previous doctor and received a conservative treatment. However, he suffered from right knee pain for 3 months after the injury. The Sijbradij test and proximal tibiofibular joint stress X-rays showed a right-side instability, and we diagnosed the patient with proximal tibiofibular joint instability. We performed proximal tibiofibular joint reconstruction using TightRope. The patient could run 2 months postoperatively and returned to the game 6 months postoperatively. Proximal tibiofibular joint instability is rare, and diagnostic criteria and treatment have not been established. Previous reports have suggested that it is associated with radiating pain of the common peroneal nerve and general joint laxity. Joint fixation using metal screws is associated with the risk of screw breakage owing to weight bearing, which necessitates peroneal osteotomy and metal removal. Proximal tibiofibular reconstruction using TightRope is a minimally invasive and effective technique that enables micro-motion, and is similar to physiologic ligament reconstruction. TightRope doesn't require peroneal osteotomy or metal removal. [ABSTRACT FROM AUTHOR] |
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