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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 2/2009

Open Access 01-02-2009 | Ankle

Potential pitfall in the microfracturing technique during the arthroscopic treatment of an osteochondral lesion

Authors: Christiaan J. A. van Bergen, Peter A. J. de Leeuw, C. Niek van Dijk

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 2/2009

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Abstract

Debridement and bone marrow stimulation of the subchondral bone is currently considered to be the primary surgical treatment of most osteochondral lesions of the talus. Different methods of bone marrow stimulation are used, including drilling, abrasion, and microfracturing. The latter has gained recent popularity. In this technical note we describe a potential pitfall in the microfracturing technique. The microfracture awl can easily create small bony particles on retrieval of the probe that may stay behind in the joint. It is emphasized that the joint should be carefully inspected and flushed at the end of each procedure, in order to prevent leaving behind any loose bony particles.
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Literature
1.
Chuckpaiwong B, Berkson EM, Theodore GH (2008) Microfracture for osteochondral lesions of the ankle: outcome analysis and outcome predictors of 105 cases. Arthroscopy 24:106–112PubMed
2.
Van Dijk CN, Bossuyt PMM, Marti RK (1996) Medial ankle pain after lateral ligament rupture. J Bone Joint Surg Br 78:562–567PubMed
3.
Van Dijk CN, Scholte D (1997) Arthroscopy of the ankle joint. Arthroscopy 13:90–96PubMed
4.
Van Dijk CN, Van Bergen CJA (2008) Advancements in ankle arthroscopy. J Am Acad Orthop Surg (in press)
5.
Ferkel RD, Heath DD, Guhl JF (1996) Neurological complications of ankle arthroscopy. Arthroscopy 12:200–208PubMedCrossRef
6.
Giannini S, Vannini F (2004) Operative treatment of osteochondral lesions of the talar dome: Current concepts review. Foot Ankle Int 25:168–175PubMed
7.
Robinson DE, Winson IG, Harries WJ, Kelly AJ (2003) Arthroscopic treatment of osteochondral lesions of the talus. J Bone Joint Surg Br 85:989–993PubMedCrossRef
8.
Schuman L, Struijs PAA, Van Dijk CN (2002) Arthroscopic treatment for osteochondral defects of the talus. Results at follow-up at 2 to 11 years. J Bone Joint Surg Br 84:364–368PubMedCrossRef
9.
Steadman JR, Rodkey WG, Rodrigo JJ (2001) Microfracture: surgical technique and rehabilitation to treat chondral defects. Clin Orthop Relat Res 391(suppl):362–369
10.
Taranow WS, Bisignani GA, Towers JD, Conti SF (1999) Retrograde drilling of osteochondral lesions of the medial talar dome. Foot Ankle Int 20:474–480PubMed
11.
Verhagen RAW, Struijs PAA, Bossuyt PMM, Van Dijk CN (2003) Systematic review of treatment strategies for osteochondral defects of the talar dome. Foot Ankle Clin 8:233–242PubMedCrossRef
12.
Zengerink M, Szerb I, Hangody L, Dopirak RM, Ferkel RD, Van Dijk CN (2006) Current concepts: treatment of osteochondral ankle defects. Foot Ankle Clin 11:331–359PubMedCrossRef
Metadata
Title
Potential pitfall in the microfracturing technique during the arthroscopic treatment of an osteochondral lesion
Authors
Christiaan J. A. van Bergen
Peter A. J. de Leeuw
C. Niek van Dijk
Publication date
01-02-2009
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 2/2009
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-008-0594-y

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