• English
    • Welsh
  • English 
    • English
    • Welsh
  • Login
Search DSpace:
  • Home
  • Research at Cardiff Met
  • Library Services
  • Contact Us
View item 
  • DSpace home
  • Cardiff School of Sport and Health Sciences
  • Health and Risk Management
  • View item
  • DSpace home
  • Cardiff School of Sport and Health Sciences
  • Health and Risk Management
  • View item
JavaScript is disabled for your browser. Some features of this site may not work without it.

Osteochondral Grafting of the Distal Tibia Without a Malleolar Osteotomy: An All-Arthroscopic Antegrade Approach

Thumbnail
View/open
Osteochondral Grafting of the Distal Tibia Without a Malleolar Osteotomy Author's post-print (748.6Kb)
Author
Perera, Anthony
Beddard, Laura
Curran, Sarah
Robertson, Angus
Date
2015-09
Type
Article
Publisher
Wolters Kluwer Health
ISSN
1536-0644
Metadata
Show full item record
Abstract
Osteochondral (OCD) lesions of the tibia are rare and can be treated with microfracture and debridement in the first instance. However, a major issue arises if bulk-grafting is required as access to the joint surface for perpendicular packing/insertion is not possible. Tibial osteotomy for access to the talus has morbidity associated with it, but moreover it does not significantly improve access to the tibia for standard retrograde (ie, from the joint surface into the bone) drilling and insertion of a graft into an OCD lesion. In order to obviate the need for malleolar osteotomy an antegrade approach through the bone rather than the joint can be used avoiding any disruption of the joint. We have developed this technique for use in the tibia and the talus and present a case of OCD autografting of the tibia to demonstrate this method of insertion without osteotomy. A jig is used to locate the surface of the lesion and then the tunnel is prepared by drilling onto this marker from the opposite side of the bone. This produces an oblique tunnel that requires harvesting of a matched graft. Insertion can then be performed from outside-in. Level of Evidence: Diagnostic Level 5. See Instructions for Authors for a complete description of levels of evidence.
Journal/conference proceeding
Techniques in Foot and Ankle Surgery
Citation
Perera, A., Beddard, L., Curran, S. and Robertson, A. (2015) 'Osteochondral grafting of the distal tibia without a malleolar osteotomy: an all-arthroscopic antegrade approach', Techniques in Foot & Ankle Surgery, 14(3), pp.120-127.
URI
http://hdl.handle.net/10369/7863
DOI
http://dx.doi.org/10.1097/BTF.0000000000000097
Description
This article was published in Techniques in Foot and Ankle Surgery in September 2015 available at http://dx.doi.org/10.1097/BTF.0000000000000097 The author's post-print is made available in this repository from 01 October 2016
Collections
  • Health and Risk Management [403]

Related items

Showing items related by title, author, subject and abstract.

  • Thumbnail

    Amelioration of non-motor dysfunctions after transplantation of human dopamine neurons in a model of Parkinson's disease 

    Lelos, M.J.; Morgan, R.J.; Kelly, Claire; Torres, E.M.; Rosser, A.E.; Dunnett, S.B. (Science Direct, 2016-02-04)
    Patients suffering from Parkinson's disease (PD) display cognitive and neuropsychiatric dysfunctions, especially with disease progression. Although these impairments have been reported to impact more heavily upon a patient's ...
  • Thumbnail

    Dopamine-rich grafts alleviate deficits in contralateral response space induced by extensive dopamine depletion in rats 

    Heuer, Andreas; Lelos, Mariah; Kelly, Claire; Torres, Eduardo; Dunnett, Stephen (Elsevier, 2013)
    Unilateral infusion of 6-hydroxydopamine into the nigro-striatal pathway in the rat is the most common dopamine lesion model of Parkinson's disease. In the present study, we explore the impact of near complete unilateral ...
  • Thumbnail

    Quadriceps muscle compensatory activations are delayed following anterior cruciate ligament reconstruction using hamstring tendon graft 

    Labanca, Luciana; Laudani, Luca; Mariani, Pier Paolo; Macaluso, Andrea (Elsevier, 2020-01-03)
    Objective: To investigate compensatory and anticipatory quadriceps muscle activations before and after anterior cruciate ligament reconstruction (ACLR) using hamstrings tendon graft. Design:Twelve participants ...

Browse

DSpace at Cardiff MetCommunities & CollectionsBy issue dateAuthorsTitlesSubjectsThis collectionBy issue dateAuthorsTitlesSubjects

My Account

Login

Statistics

Most Popular ItemsStatistics by CountryMost Popular Authors

DSpace software copyright © 2002-2015  DuraSpace
Contact us | Send feedback | Administrator