Description
Case: A 50-year-old female presented with knee instability following proximal fibular resection for a benign tumour, associated with chronic ACL deficiency from a previous injury. Magnetic Resonance Imaging (MRI) showed fibular collateral ligament (FCL) and distal biceps femoris complete detachment. ACL reconstruction was combined with revision posterolateral corner (PLC) reconstruction, placing the distal grafts, due to lack of fibula, both into the tibia. At 21-month follow-up, the patient reported excellent clinical outcomes.
Conclusion: This is the first report describing a wholly tibial-based PLC reconstruction. In cases related to proximal fibula deficiency from resection or congenital causes, this technique can effectively restore stability.
