Hofer Reinhard, Valentini Marisa, Smolle Maria Anna, Leithner Andreas, Bergovec Marko
Department of Orthopaedics and Traumatology, Medical University of Graz, Auenbruggerplatz 5, 8036 Graz, Austria.
Department of Orthopaedics and Traumatology Krems, University Hospital Krems, Mitterweg 10, 3500 Krems an der Donau, Austria.
J Clin Med. 2024 Nov 25;13(23):7138. doi: 10.3390/jcm13237138.
: The resection of tumors of the proximal fibula includes the removal of the lateral collateral ligament (LCL) and biceps femoris tendon (BFT) attachment. The aim was to describe and evaluate a surgical reconstruction technique in terms of functional outcome and knee joint stability. : We analyzed the outcome of six patients, treated by a proximal fibula resection. The reconstruction of the attachments of the LCL and BFT was performed with two suture anchors, fixed onto the tibia at the level of the proximal tibiofibular joint (PTFJ). The postoperative knee flexion strength as well as the lateral knee joint stability were compared to the contralateral side using a digital scale and stress X-ray. Patient-reported outcome measures and postoperative complications were documented. : No lateral instability and no significant loss of knee flexion strength could be observed ( = 0.075). One persistent postoperative peroneus paresis was reported. High functional outcome was achieved with a mean MSTS score of 92.2%. : The resection of the proximal fibula with the reinsertion of the LCL and the BFT using bone anchors in the PTFJ seems to provide a good functional outcome, with a low level of associated comorbidities.
腓骨近端肿瘤切除术包括切除外侧副韧带（LCL）和股二头肌肌腱（BFT）附着点。目的是从功能结果和膝关节稳定性方面描述和评估一种手术重建技术。我们分析了6例接受腓骨近端切除术患者的结果。使用两个缝线锚钉将LCL和BFT的附着点重建并固定于近端胫腓关节（PTFJ）水平的胫骨上。使用数字量表和应力X线将术后膝关节屈曲力量以及膝关节外侧稳定性与对侧进行比较。记录患者报告的结局指标和术后并发症。未观察到外侧不稳定且膝关节屈曲力量无明显丧失（P = 0.075）。报告了1例持续性术后腓骨肌无力。平均肌肉骨骼肿瘤学会（MSTS）评分为92.2%，功能结局良好。在PTFJ使用骨锚钉进行LCL和BFT再植入的腓骨近端切除术似乎能提供良好的功能结局，且相关合并症水平较低。
