J Knee Surg 2015; 28(06): 455-463
DOI: 10.1055/s-0035-1564594
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Fibular Head-Based Posterolateral Reconstruction of the Knee: Surgical Technique and Outcomes

Gregory C. Fanelli
1   Department of Sports Medicine and Orthopaedics, Geisinger Health System, Danville, Pennsylvania, United States
› Author Affiliations
Further Information

Publication History

01 May 2015

15 July 2015

Publication Date:
26 September 2015 (online)


The purpose of this article is to present the author's experience with fibular head-based surgical procedures for the treatment of posterolateral instability of the knee. The surgical techniques presented are the biceps tendon transfer procedures and the fibular head-based figure of eight posterolateral reconstruction using free grafts. Each of these techniques is combined with capsular repair and/or posterolateral capsular shift procedures in all cases. The decision points for surgical technique selection, the surgical technique itself, the postoperative rehabilitation, and the outcomes of these surgical procedures are presented, including a comparison of the biceps tendon procedures with the free graft procedure.