Proximal Tibiofibular Joint Dysfunction as a Cause of Persistent Knee Pain After Total Knee Arthroplasty: A Case Series and Literature Review

Total knee arthroplasty (TKA) is a common procedure for end-stage osteoarthritis of the tibiofemoral and patellafemoral joints. Despite a good outcome in many patients, persistent knee pain after TKA poses a significant challenge. Proximal tibiofibular joint (PTFJ) osteoarthritis has been seen as a rare cause of such pain. In this case series, we share our experience diagnosing PTFJ dysfunction and managing it with intra-articular ultrasound-guided injections. We demonstrate that PTFJ arthropathy may be a more common cause of chronic post-TKA pain than generally believed.