Lateral Ankle Reconstruction Using a Patellar Tendon Graft: A Case Report

A 64-year-old patient presented with a solitary osseous metastasis of the renal cell carcinoma. The localization of the metastasis in the distal fibula is rare. A distal fibulectomy was performed, and the lateral ankle ligaments were reconstructed using a patellar bone-tendon-bone allograft. Postoperatively the ankle was immobilized in plaster, followed by mobilization with an ankle brace. One year postoperatively the result was good. The ascribed method is a new and elegant way of reconstruction of the lateral ankle ligaments after distal fibulectomy. Lateral fibulectomy is rare, thus making the ascribed way of reconstruction rare. We think, however, for this specific indication this operation deserves a place among other lateral ankle reconstructions. Level of Clinical Evidence: 4