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dc.contributor.authorPerera, Anthony
dc.contributor.authorBeddard, Laura
dc.contributor.authorCurran, Sarah
dc.contributor.authorRobertson, Angus
dc.date.accessioned2016-04-22T11:17:15Z
dc.date.available2016-04-22T11:17:15Z
dc.date.issued2015-09
dc.identifier.citationPerera, 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.en_US
dc.identifier.issn1536-0644
dc.identifier.urihttp://hdl.handle.net/10369/7863
dc.descriptionThis 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 2016en_US
dc.description.abstractOsteochondral (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.en_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Healthen_US
dc.relation.ispartofseriesTechniques in Foot and Ankle Surgery
dc.subjectosteochondral grafting of defectsen_US
dc.subjecttibialen_US
dc.subjectautograften_US
dc.subjectantegradeen_US
dc.subjectretrogradeen_US
dc.subjectankle arthroscopyen_US
dc.titleOsteochondral Grafting of the Distal Tibia Without a Malleolar Osteotomy: An All-Arthroscopic Antegrade Approachen_US
dc.typeArticleen_US
dc.identifier.doihttp://dx.doi.org/10.1097/BTF.0000000000000097
dc.date.dateAccepted2015
dc.rights.embargodate2016-10-01
dc.rights.embargoreason12 month embargo requested by publisher


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