OSTEOCHONDRITIS-DISSECANS OF THE TALUS - A NEW TECHNIQUE FOR ARTHROSCOPIC DRILLING

被引:23
作者
BRYANT, DD [1 ]
SIEGEL, MG [1 ]
机构
[1] DEACONESS HOSP,CINCINNATI SPORTSMED & ORTHOPAED CTR,311 STRAIGHT ST,CINCINNATI,OH 45219
来源
ARTHROSCOPY | 1993年 / 9卷 / 02期
关键词
OSTEOCHONDRITIS DISSECANS; TALUS;
D O I
10.1016/S0749-8063(05)80385-8
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Ankle arthroscopy is an effective procedure for the evaluation and management of osteochondritis dissecans of the talus. For active individuals with detached lesions, excision, curettage, and drilling are an effective treatment. The ability to drill arthroscopically significantly reduces the morbidity associated with open procedures. The use of an anterior cruciate ligament guide and the transmalleolar approach are techniques that have been advocated for the drilling of defects on the posteromedial aspect of the talar dome. However, we describe a new technique using the meniscal repair instrumentation that permits accurate arthroscopic localization and drilling of osteochondral lesions; no transmalleolar portal is required.
引用
收藏
页码:238 / 241
页数:4
相关论文
共 38 条
[11]  
Nisbet NW, Dome fracture of the talus, J Bone Joint Surg, 36 B, pp. 244-246, (1954)
[12]  
Davis MW, Bilateral talar osteochondritis dissecans with lax ankle ligaments: report of a case, J Bone Joint Surg, 52 A, pp. 168-170, (1970)
[13]  
Cameron BM, Osteochondritis dissecans of the ankle joint: report of a case simulating a fracture of the talus, J Bone Joint Surg, 38 A, pp. 857-861, (1956)
[14]  
Ray RB, Coughlin EJ, Osteochondritis dissecans of the talus, J Bone Joint Surg, 29, pp. 697-706, (1947)
[15]  
Alexander AH, Lichtman DM, Surgical treatment of transchondral talar-dome fractures (osteochondritis dissecans), J Bone Joint Surg, 62 A, pp. 646-652, (1980)
[16]  
Kleiger B, Fractures of the talus, J Bone Joint Surg, 30 A, pp. 735-744, (1948)
[17]  
Scharling M, Osteochondritis dissecans of the talus, Acta Orthop Scand, 49, pp. 89-94, (1978)
[18]  
Phemister DB, The causes of and changes in loose bodies arising from the articular surface of the joint, J Bone Joint Surg, 6, pp. 278-315, (1924)
[19]  
Cavallaro DC, Wokasien RL, Brown JH, Johnston WB, Osteochondritis dissecans of the talus: a review of the literature and case study, J Am Podiatr Assoc, 69, pp. 567-570, (1979)
[20]  
Lindholm TS, Osterman K, Vankka E, Osteochondritis dissecans of the elbow, ankle and hip: a comparison survey, Clin Orthop, 148, pp. 245-253, (1980)