Medial Transmalleolar Portal Technique for Ankle Arthroscopic Headless Screw Fixation of Talar Osteochondritis Dissecans Lesions

Autor: Patrick A. Massey, Wayne Scalisi, Carver Montgomery, Kaylan N. McClary, Jennifer S. Walt, Giovanni F. Solitro, Shane Barton
Rok vydání: 2022
Předmět:
Zdroj: Arthroscopy Techniques. 11:e223-e228
ISSN: 2212-6287
DOI: 10.1016/j.eats.2021.10.012
Popis: This article describes a technique for arthroscopic fixation of an osteochondritis dissecans (OCD) lesion of the medial talar dome with headless compression screws. This technique involves creation of a medial transmalleolar portal using a guide and drill. The medial transmalleolar portal grants perpendicular access for screw fixation of OCD lesions in addition to the potential for osteochondral autograft transplantation (OAT). Advantages include access to the medial talar dome without performing a medial malleolar osteotomy. After completion of OCD fixation, an inverted osteochondral plug can be used to backfill the portal.
Databáze: OpenAIRE