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CT-Guided Percutaneous Retrograde Drilling of Talar Osteochondrosis Dissecans: A Case-Report
Kuiper JWP1*, van Duijvenbode DC1, Hoozemans MJM2,3 and Stavenuiter MHJ41Research Fellow, CORAL - Center for Orthopaedic Research Alkmaar, Medical Centre Alkmaar, Wilhelminalaan 12, 1815 JD Alkmaar, The Netherlands
2Research coordinator, CORAL- Center for Orthopaedic Research Alkmaar, Medical Centre Alkmaar, Wilhelminalaan 12, 1815 JD Alkmaar, The Netherlands
3Assistant professor, MOVE Research Institute Amsterdam, Faculty of Human Movement Sciences, VU University Amsterdam, The Netherlands
4Orthopaedic surgeon, Medical Centre Alkmaar, Wilhelminalaan 12, 1815 JD Alkmaar, The Netherlands
- *Corresponding Author:
- Kuiper JWP, MD
CORAL - Center for Orthopaedic Research Alkmaar
Medical Centre Alkmaar, Wilhelminalaan 12
1815 JD Alkmaar, The Netherlands
Tel: 0031-72-5482503
Fax: 003-172-5482168
E-mail: j.w.p.kuiper@mca.nl
Received Date: May 01, 2013; Accepted Date: June 20, 2013; Published Date: June 24, 2013
Citation: Kuiper JWP, van Duijvenbode DC, Hoozemans MJM, Stavenuiter MHJ (2013) CT-Guided Percutaneous Retrograde Drilling of Talar Osteochondrosis Dissecans: A Case-Report. Clin Res Foot Ankle 1:113. doi: 10.4172/2329-910X.1000113
Copyright: © 2013 Kuiper JWP, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Introduction: Osteochondrosis Dissecans is a non traumatic pathology, frequently observed in the ankle in young patients. Treatment methods include arthroscopic debridement, microfracturing and anterograde or retrograde drilling. Retrograde drilling does not damage the cartilage and has high success rates, but usually involves arthroscopy. The use of Computer Tomography (CT) for retrograde drilling is relatively unknown.
Patient: We present a case of Osteochondrosis Dissecans of the talus in a nine year old boy and describe a CT guided retrograde drilling method without the use of additional arthroscopy. After six months, the patient reported to have no pain and to be able to participate in sports activities again.
Discussion: This is the first study describing a patient treated with CT guided retrograde drilling of osteochondrosis dissecans without the use of arthroscopy. We believe that CT guided drilling has additional advantage to arthroscopic drilling, because it leaves the joint unharmed.
