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

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

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.

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Authors and Affiliations

  1. Department of BioMedical Engineering, Center for Outcomes-Based Orthopaedic Research, Steadman Philippon Research Institute, 181 W. Meadow Drive, Suite 1000, Vail, CO, 81657, USA

    Brady T. Williams, Evan W. James & Robert F. LaPrade

  2. The Steadman Clinic, 181 W. Meadow Drive Suite 400, Vail, CO, 81657, USA

    Robert F. LaPrade

Authors
  1. Brady T. Williams
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  2. Evan W. James
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  3. Robert F. LaPrade
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Correspondence to Robert F. LaPrade.

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Williams, B.T., James, E.W. & LaPrade, R.F. A physeal-sparing fibular collateral ligament and proximal tibiofibular joint reconstruction in a skeletally immature athlete. Knee Surg Sports Traumatol Arthrosc 24, 661–665 (2016). https://doi.org/10.1007/s00167-014-3219-7

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  • DOI: https://doi.org/10.1007/s00167-014-3219-7

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