Fibular Head–Based Posterolateral Reconstruction of the Knee

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 8 posterolateral reconstruction using free grafts. Each of these techniques is combined with capsular repair or posterolateral capsular shift or both 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.