A physeal-sparing fibular collateral ligament and proximal tibiofibular joint reconstruction in a skeletally immature athlete

  • Brady T. Williams
  • Evan W. James
  • Robert F. LaPrade


The purpose of this report was to describe the surgical technique for and outcomes after a modified physeal-sparing posterolateral corner reconstruction in a 12-year-old skeletally immature male with a mid-substance fibular collateral ligament tear, a proximal posterior tibiofibular ligament tear, and an anterior cruciate ligament avulsion fracture of the medial tibial eminence. A modified physeal-sparing posterolateral corner reconstruction was used to provide a near-anatomic reconstruction of the fibular collateral ligament and proximal posterior tibiofibular ligament. An anterior cruciate ligament repair was also performed. Varus stress radiographs obtained at 6 months postoperatively demonstrated resolution of lateral knee stability. Physical examination results demonstrated stability to anterior tibial translation and a stable proximal tibiofibular joint. Computed tomography showed that the surgical technique successfully avoided breeching the patient’s physes.


Open physes Posterolateral corner Fibular collateral ligament Proximal tibiofibular joint Anterior cruciate ligament avulsion Reconstruction 


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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Brady T. Williams
    • 1
  • Evan W. James
    • 1
  • Robert F. LaPrade
    • 1
    • 2
  1. 1.Department of BioMedical Engineering, Center for Outcomes-Based Orthopaedic ResearchSteadman Philippon Research InstituteVailUSA
  2. 2.The Steadman ClinicVailUSA

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