July 25, 2026 · Foot & ankle international · DOI: 10.1177/10711007261461286

The Distal Fascicle of the Anterior Inferior Tibiofibular Ligament (AITFL-df) as a Reliable Landmark for Fibular Tunnel Positioning in Anterior Talofibular Ligament Reconstruction

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The authors aimed to determine whether the distal fascicle of the anterior inferior tibiofibular ligament (AITFL-df) could serve as a reliable anatomical landmark for fibular tunnel positioning during anterior talofibular ligament (ATFL) reconstruction, particularly when the fibular obscure tubercle (FOT) is unclear. Their study found that using the AITFL-df resulted in greater consistency in tunnel positioning compared to the FOT, especially in cases where the FOT visibility was compromised. The findings suggest that the AITFL-df may be a superior alternative for ensuring accurate fibular tunnel placement in ATFL reconstruction.

Chenyu Lian, Anhong Wang, Dong Jiang, Chen Jiao, Qinwei Guo

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