The effects of resection of the proximal part of the fibula on stability of the knee and on gait.

Draganich, Louis F.; Nicholas, Ralph W.; Shuster, John K.; Sathy, Michael R.; Chang, An-Hsiung; Simon, Michael A.

doi:10.2106/00004623-199173040-00014

Cited by 79 publications

(57 citation statements)

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“…Studies in a cadaver have demonstrated that the fibular collateral ligament provides the main resistance to varus rotation at the knee [12]. Draganich et al reported increased anterior and anteroposterior translation of the knee in flexion, varusvalgus rotations at 20°flexion and several abnormalities in ground reaction forces [11]. There is evidence that instability of the knee can cause osteoarthrosis as in one case of our study [13].…”

Section: Discussionsupporting

confidence: 57%

“…If the tumour infiltrates the proximal fibula head an extraarticular resection of the proximal fibulotibial joint is unavoidable. Gait abnormalities and knee instability occur after proximal fibula resection [11]. Studies in a cadaver have demonstrated that the fibular collateral ligament provides the main resistance to varus rotation at the knee [12].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore the remaining lateral collateral ligament and biceps tendon should be properly reattached to the tibia. If there is insufficient biceps tendon or ligament left, a reconstruction using the fascia lata should be performed [11]. Bickels et al reported a knee instability in 7% of cases in Malawer type I resections (marginal resection of the proximal fibula with a small muscle layer, preserving the peroneal nerve) and in 50% of cases in Malawer type II resections (wide extraarticular en-bloc resection of the proximal fibula, the common peroneal nerve and the anterior and lateral muscle groups) [4].…”

Section: Discussionmentioning

confidence: 99%

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Proximal fibula resection in the treatment of bone tumours

Dieckmann

Gebert

Streitbürger

et al. 2011

International Orthopaedics (SICOT)

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Background and objectives We present a large study of patients with proximal fibula resection. Moreover we describe a new classification system for tumour resection of the proximal fibula independent of the tumour differentiation. Methods In 57 patients the functional and clinical outcomes were evaluated. The follow-up ranged between six months and 22.2 years (median 7.2 years). The indication for surgery was benign tumours in ten cases and malignant tumours in 47 cases. In 13 of 45 patients, where a resection of the lateral ligament complex was done, knee instability occurred. In 32 patients a resection of the peroneal nerve with resulting peroneal palsy was necessary.

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Proximal fibula resection in the treatment of bone tumours

Dieckmann

Gebert

Streitbürger

et al. 2011

International Orthopaedics (SICOT)

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“…These studies focused their attention on the stability of knee and ankle 10 , the differences in Range of Motion (RoM) of the ankle joint, the tibio-talar angle and the joint deformity 11 . Other studies evaluated the kinematic parameters of gait (stride length, cadence, speed, single and double support time, ankle angle) in automated way or under cognitive and visual engagement to identify any differences 4,[10][11][12][13][14] .…”

Section: Introductionmentioning

confidence: 99%

“…Other studies evaluated the kinematic parameters of gait (stride length, cadence, speed, single and double support time, ankle angle) in automated way or under cognitive and visual engagement to identify any differences 4,[10][11][12][13][14] .…”

Section: Introductionmentioning

confidence: 99%

Stair Ascent and Descent in Assessing Donor-Site Morbidity Following Osteocutaneous Free Fibula Transfer: A Preliminary Study

Baj

Lovecchio

Bolzoni

et al. 2015

Journal of Oral and Maxillofacial Surgery

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Descriptive anatomy of the insertion of the biceps femoris muscle

et al. 2006

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The biceps femoris is the most lateral component of the so-called hamstring muscles. Classically, this muscle's insertion into the head of the fibula has been described but further details of its anatomy have not been universally appreciated. Additional insertions into the crural fascia and tibia have been described. We dissected 56 cadavers paying especially close attention to the insertion of the biceps femoris muscle. The tendon of this muscle was found to have both medial and lateral slips each with an anterior and posterior component. Further, we found an attachment not only into the lateral condyle of the femur but also the popliteus tendon and arcuate popliteal ligament. Our study has found that the tendon of insertion of the biceps femoris muscle is more complex than described previously and suggests that this tendon may be far more important in knee stability based on the multiple attachment sites found. We hypothesize that there may be a synergistic effect between the biceps femoris and the popliteus muscles based on our findings of an additional attachment of the biceps femoris tendon into the popliteus tendon. This study provides new detailed nomenclature for the description of the tendon of insertion of the biceps femoris muscle and indicates that the current description of the insertion of the tendon of the biceps femoris muscle should be revised. The clinician must have a thorough understanding of this anatomy before correct therapeutic maneuvers can be implemented.

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The effects of resection of the proximal part of the fibula on stability of the knee and on gait.

Cited by 79 publications

References 0 publications

Proximal fibula resection in the treatment of bone tumours

Proximal fibula resection in the treatment of bone tumours

Stair Ascent and Descent in Assessing Donor-Site Morbidity Following Osteocutaneous Free Fibula Transfer: A Preliminary Study

Descriptive anatomy of the insertion of the biceps femoris muscle

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