Arthroscopic management of talar dome lesions using a transmalleolar approach.

Abstract:

:Surgical treatment of posteromedial talar dome lesions is frequently necessary for Berndt and Harty grade IV osteochondral defects and nondisplaced osteochondral fragments resistant to conservative modalities. When operative intervention is indicated, the approach and management can be complicated by the location and extent of the injury. The operative technique we advocate allows direct exposure of the lesion and minimizes damage to healthy articular cartilage and surrounding soft tissue. Use of a drill guide assists the surgeon in precisely placing a transmalleolar portal through the tibia for subchondral drilling of osteochondral defects when the lesions are inaccessible through traditional arthroscopic portals.

journal_name

J Am Podiatr Med Assoc

authors

Grady J,Hughes D

doi

10.7547/0960260

subject

Has Abstract

pub_date

2006-05-01 00:00:00

pages

260-3

issue

3

eissn

8750-7315

issn

1930-8264

pii

96/3/260

journal_volume

96

pub_type

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