Nonoperative Management of Proximal Tibiofibular Joint Synostosis after Tibial Intramedullary Nailing

Proximal Tibiofibular Synostosis: Report of 2 Cases and New Surgical Technique

Proximal tibiofibular synostosis is a rare condition. It is often misdiagnosed or difficult to diagnose and its treatment is not widely known. There is no surgical procedure clearly reported in the literature. Our article will start by describing two cases we have seen, explaining their long clinical histories and illustrating them with the imaging tests performed. We will then describe our unique surgical technique which consists of resectioning the synostosis and interposing an allograft in the proximal tibiofibular joint. In this section, we will describe the cases of two patients operated on in our department in the last three years. In both cases, the patients presented with latent pain in the posterolateral part of the knee. The pain was always associated with a sporting activity. Diagnosis was not easy and complementary tests needed to be prescribed. We will then go on to give a detailed explanation of our unique surgical procedure consisting of the resection of the proximal tibiofibular synostosis and interposition of a fascia lata allograft in the pseudo-articulation. Proximal tibiofibular synostosis is not widely known and time to treatment is often too long. The purpose of our article is to inform practitioners about the availability of a successful surgical treatment.Kindly check and confirm the edit made in the title.yes Please confirm if all the author names are presented accurately and in the correct sequence (given name, middle name/initial, family name). yes.