Is stability of the proximal tibiofibular joint important in the multiligament-injured knee?

BACKGROUND: The incidence of proximal tibiofibular joint instability in the setting of the multiligament-injured knee has not been previously reported. The integrity of the proximal tibiofibular joint is required to perform a fibular-based, lateral-sided knee reconstruction. QUESTIONS/PURPOSES: We report (1) the frequency of proximal tibiofibular joint instability in patients presenting with multiligament knee injuries and evaluate (2) our ability to restore stability to this joint, (3) patient-reported outcome scores, and (4) complications in patients surgically treated for proximal tibiofibular joint instability at the time of treatment of multiligament knee instability. METHODS: From 2005 to 2013, 124 patients (129 knees) sustaining multiligament knee injuries with Grade 3 instability to at least two ligaments were treated at our institution. We defined proximal tibiofibular joint instability as a dislocated or dislocatable proximal tibiofibular joint at the time of surgery. These patients underwent surgery to restore proximal tibiofibular joint stability and ligament reconstruction or repair and were followed with routine clinical examination, radiographs, and subjective outcome measures, including Lysholm and IKDC scores. Minimum followup was 12 months (mean, 32 months; range, 12-61 months). RESULTS: Twelve knees (12 patients, 9% of 129 knees) showed proximal tibiofibular joint instability. Knee stability in 10 patients was restored to Grade 1 or less in all surgically treated ligaments. No proximal tibiofibular joint instability has recurred. No patients have complained of ankle stiffness or pain. In the ten patients with subjective scores, mean Lysholm score was 75 (range, 54-95) and mean IKDC score was 58 (range, 22-78). There were four complications: one failed posterolateral corner reconstruction, one proximal tibiofibular joint screw removal secondary to pain over the screw head, one deep infection treated with serial irrigation and débridements with graft retention, and one closed manipulation secondary to arthrofibrosis and loss of ROM. CONCLUSIONS: In the setting of multiligament-injured knees, our series demonstrated a 9% incidence of proximal tibiofibular joint instability. The technique we describe successfully restored stability to the proximal tibiofibular joint and resulted in satisfactory patient-reported outcomes with low complication rates. LEVEL OF EVIDENCE: Level IV, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.

Assessing "PCL Plus Popliteus" injuries.

OBJECTIVE: To highlight the incidence of grade III PCL injuries with simultaneous PCL & popliteus injury. METHODS: Inclusion criteria: patients who underwent PCL reconstruction for grade III PCL tear & minimum of 1-year follow-up. Exclusion criteria: associated ACL injury & insufficient follow up. Patients seen postoperatively at 2 weeks, 6-8 weeks, 4-6 months, 6-9 months, 1 year, and 1 + years. RESULTS: 89.5% of patients in this study had an associated popliteus injury. CONCLUSIONS: Isolated grade III PCL injury may not frequently exist, rather undiagnosed & untreated concurrent popliteus injury can have less successful outcomes after isolated PCL reconstruction.

Flexor hallucis longus tendon transfer for hallux claw toe deformity and vertical instability of the metatarsophalangeal joint.

BACKGROUND: Historically, operative treatment of hallux claw toe deformity has been the Jones procedure or one of its modifications. Review of the literature confirms its ability to maintain alignment and achieve patient satisfaction; however, several complications have been reported. Many of these are related to altered biomechanics across the metatarsophalangeal (MTP) joint. A similar approach to this clinical problem involves restoration of the flexion moment across the MTP joint without an interphalangeal (IP) joint arthrodesis. METHODS: We conducted a retrospective review of 10 patients who had a flexor hallucis longus (FHL) tendon transfer to the proximal phalanx of the great toe for hallux claw toe deformity, as well as for symptomatic vertical instability. Four patients had a positive drawer test indicating vertical instability without static deformity. Two patients with vertical instability were found to have a dynamic deformity. Mean followup was 24 (SD 15.2) months. RESULTS: All deformities were corrected and alignment was maintained at the time of followup. Pain under the first metatarsal head was reliably improved in symptomatic patients (p < 0.05). Patient satisfaction also was assessed. All six patients treated for hallux claw deformity were satisfied with their outcomes. Two of the four patients treated for vertical instability were satisfied. The other two patients expressed dissatisfaction because of persistent pain that occurred during strenuous exercise. Their symptoms during routine activity were improved, however. CONCLUSION: Based on initial results, the FHL transfer to the proximal phalanx appears to be a viable treatment option for hallux claw deformity in terms of deformity correction, pain relief, and patient satisfaction. Further evaluation is warranted regarding the indication of vertical instability.