Tibiofibular Joint Instability Surgical Treatment

What are the surgical options for a tibial plateau fracture?

Surgical intervention is often necessary for more severe proximal tibiofibular joint instability cases stabilize the joint. If surgery is needed, it is best to proceed as soon as possible following the injury. The specific surgical approach depends on the characteristics of the injury (anterior vs posterior or both).

Dr. Chahla and other researchers have developed techniques to  restore stability to this joint without over constraining the joint. In the past, while others have often treated this instability of this joint by fusing it, we have reported through research that a proximal posterior tibiofibular joint ligament reconstruction is easily performed, replicating the native anatomy and biomechanics and has decreased the chance of leading to ankle pathology further down the line.

In addition, we frequently perform a common peroneal nerve neurolysis concurrent with the ligament reconstruction to release the scar tissue around the common peroneal nerve so that any further nerve irritation will not occur after surgery due to postoperative swelling or scar tissue entrapment.